Mortgage Insurance Hospitals

To facilitate the affordable financing of hospitals for the care and treatment of persons who are acutely ill or who otherwise require medical care and related services of the kind customarily furnished only or most effectively by hospitals.

Agency - Department of Housing and Urban Development

The Department of Housing and Urban Development's mission is to increase homeownership, support community development and increase access to affordable housing free from discrimination. HUD fulfills this mission through high ethical standards, management and accountability, and by forming partnerships with community organizations.

Program Accomplishments

Not Applicable.

Uses and Use Restrictions

HUD insures lenders against loss on mortgages.

The loans may be used to finance the construction, modernization, equipment, or refinancing of acute care hospitals.

Eligibility Requirements

Applicant Eligibility

Qualified applicants can be either profit or not-for-profit hospitals licensed or regulated by the State, municipality, or other political subdivision.

At least 50 percent of the care must be for general acute patients as of June 2012.

Beneficiary Eligibility

Persons needing the services of these hospitals benefit by using the modernized facilities supported by the insured mortgages.


Documentation regarding the characteristics of the property and the qualifications of the mortgagor are assembled by the mortgagee and submitted with the application. A Certificate of Need from the appropriate State agency is needed if that State has a Certificate of Need process. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The sponsor submits a formal application to the Office Healthcare Programs, Room 6264, Department of Housing and Urban Development, 451 Seventh Street, SW., Washington, DC 20410.

Award Procedures

The Federal Housing Commissioner makes final decisions to approve, hold, or reject individual applications.


Not Applicable.


242, 1715z U.S.C.

Range of Approval/Disapproval Time

From 60 to 90 days. Processing time depends upon the complexity of the proposal and the degree of preparation by the sponsor. 60 days is the goal for non-complicated applications.


If an application for mortgage insurance is refused, the reasons for the refusal will be stated. The applicant may reapply.


The term of a commitment to insure advances is typically effective for 90 days from the date of issuance and may be extended for good cause.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

The mortgage term is 25 years. See the following for information on how assistance is awarded/released: insurance of advances for construction projects.

Post Assistance Requirements


No reports are required.


In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. The Department of Housing and Urban Development reserves the right to audit the accounts of either the mortgagee or mortgagor in order to determine their compliance and conformance with HUD regulations and standards.


Mortgagees and mortgagors are required to service and maintain records in accordance with acceptable mortgage practices of prudent lending institutions and FHA regulations. Records must be kept in accordance with State and Federal Regulations during the construction phase.

Financial Information

Account Identification



(Guaranteed/Insured Loans) FY 15 $160,000,000; FY 16 est $665,000,000; and FY 17 est $300,000,000

Range and Average of Financial Assistance

No Data Available.

Regulations, Guidelines, and Literature

Not Applicable.

Information Contacts

Regional or Local Office


Headquarters Office

Ivy M. Jackson, 451 7th Street, SW Rm 6264 , Washington, District of Columbia 20410 Email: Phone: (202) 402-2333.

Criteria for Selecting Proposals

Not Applicable.

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