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Assisted Living and Skilled Nursing Care

Cash-Out, Refinance and Purchase Loans

FHA-HUD 232/223(f)


$5.5 Million to $100 Million+ per property

2.4% to 2.55% fixed

Term: 35 years or 75% of remaining economic life(both fully amortizing)

Our fee is built into the interest rate

Term: 35 years fully or 75% of the remaining economic life amortizing

Finance 80 to 90% of purchase price (Fast Track closes in 45 days) 

Refinance or Refi-Cash-Out at 80% of Appraised Value

No upfront fees underwriting pricing and sizing loans; no application or 3rd party fees (such as appraisals) until borrower signs FHA-Hud, Fannie Mae or Freddie Mac terms sheet

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Prepayments: none after 10 years

Rate locks 2 months before funding; can rate lock early by paying a one time, nonrefundable payment of 3 to 6 BPS per month. Borrower chooses # of months to rate lock. Rate lock deposit of 0.5% refunded at closing

Borrower requirements:

(1) Must have been on title 1+ years for similar sized senior healthcare project last 3 years 

(2) Liquidity must cover “cash to close” (combined all key principals)

(3) 660+ credit

(4) No bankruptcy, foreclosure or short sales in last 3 years

(5) Borrower: single asset LLC, Corporation or Partnership

(6) No tax returns or income verification required

Occupancy requirements: 6 months 85%+ average occupancy with last 3 months trending up

May take surplus cash distributions from operating account twice/year

Eligible properties: Licensed Nursing Homes, Assisted Living, Intermediate Care and Board & Care
a) Must provide continuous protective oversight.
b) Must offer 3 meals per day.
c) Must be state licensed.
d) Non-resident day care up to 20% of gross area and income.
e) May include up to 25% non-licensed independent living units.
f) 3 years must have passed since last certificate of occupancy issued

Commercial Space: up to 20% of net rentable area and gross income

Borrower Type Maximum Loan to Value Minimum Debt
Service Coverage
Maximum Loan to
Refinance Cost
Maximum Loan to
Acquisition Cost
For-Profit 80% 1.45x 100% 80%
Not-for-Profit 85% 1.45x 100% 90%

Escrows: Capital needs reserve will be maintained with monthly deposits in accordance with HUD guidelines on a property-specific basis.

Professional Liability Insurance: HUD requires minimum coverage of $1 million per occurrence; $3 million aggregate with a max deductible of $25,000. Waivers may be granted in cases where premiums are high and claim history is clean.

Mortgage Insurance Premium: 1% due HUD at closing and 0.65% annually thereafter (0.45% for qualifying LIHTC projects), escrowed monthly.

HUD Application Fee: 0.30% of estimate loan amount with submission of application (0.20% for properties in a qualified Opportunity Zone).

HUD Inspection Fee: Greater of $30 per unit/bed or 1% of repairs.

Third party reports: appraisal, environmental and capital needs sssessment.

Timeline: Typical application submitted within 60 days of engagement; processing time varies on OCRF (Office of Residential Care Facilities) volume.

Eagle is a correspondent lender for largest FHA-HUD Commercial Lender in USA. We close more than half of all FHA-HUD Multifamily & Senior Health Care loans and rank top 10 for Fannie Mae and Freddie MAC.

Get Your Free Healthcare Loan PRE-APPROVAL LOI in 48 business hours by clicking the blue PRE-APPROVAL Healthcare Loan Link. Will take you less than 6 minutes to click through. No upfront fees, Social Security Numbers, credit checks or credit cards required.

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