Bedford Lending
HUD programs

HUD 232/223(a)(7) Healthcare streamlined refinance

Refinance an existing HUD-insured healthcare loan to improve its long-term financing structure.

Program at a glanceDocuments & videosProgram details

Program at a glance

Existing HUD mortgage
Available for an eligible FHA-insured healthcare loan.
No cash-out
Refinance eligible debt and costs without an equity distribution.
Fixed-rate financing
Compare proposed payments with the existing loan and total transaction costs.
Term extension
May be available, subject to HUD approval and the original loan’s term limits.
Reserves & repairs
Required reserves carry forward; eligible repairs may be included.
Prepayment review
Existing lockout periods and premiums affect the economics.
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Documents & videos

HUD 232/223(a)(7) term sheetOpen PDF
All handouts All videos
Program details & considerations

HUD 232/223(a)(7) offers a streamlined refinance for eligible healthcare properties with an existing HUD-insured mortgage. We'll review the current loan and proposed terms to see whether the savings justify the transaction costs.

Send us the mortgage balance, note rate, remaining amortization, prepayment schedule and original HUD loan documents. Recent operating statements and reserve balances help us evaluate eligible costs and any proposed term extension. An extension remains subject to HUD approval and the original loan's applicable limits.

Cash-out is not available. An acquisition, conventional-loan refinance or major construction project needs to be reviewed under a different program.

Eligible uses & property features

  • Existing HUD-insured healthcare loans
  • Streamlined refinance evaluation
  • Eligible transaction costs
  • Healthcare lending experience

What to consider

Cash-out is not available through the streamlined program. A lower rate alone does not establish a benefit; transaction costs and prepayment provisions also matter.

Eligibility, proceeds, terms and timing depend on the property, underwriting and current HUD requirements. This overview is not a loan commitment.

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