2013 Lender Training:  FHA Section 223(f) Refinancing for Hospitals

The Office of Hospital Facilities (OHF) held a one-day lender training on the new FHA Section 242/223(f) refinancing and acquisition program.  The training was held on Wednesday, July 31, 2013 in Washington, DC at  HUD Headquarters.

The 223(f) program provides hospitals that do not have an existing FHA Section 242 mortgage access to FHA-backed credit enhancement for refinance existing debt, without requiring new construction or renovation.

 The workshop provided lenders and consultants with a great opportunity to meet and interact with OHF staff while simultaneously learning about the new 223(f) application process and program requirements.  Nearly 50 lenders and consultants attended in person and over 85 joined in virtually online.  Together, their participation made the training session a great success.  There were many newcomers to this year’s training; in fact, more than 60% of this year’s participants did not attend the last lender training in 2011.

The workshop  was led by HUD staff members from a variety of offices and programs including:  the Office of Hospital Facilities, the Office of Healthcare Programs, the Office of General Counsel, and the Office of Risk Management.   Sessions included:

  • FHA Section 242 and 223f Refinancing
  • Legal Requirements
  • Navigating the New 242 Handbook and Regulation
  • The Pre-Application and Application Process
  • Eligibility Requirements for 223(f) Refinancing
  • Policies for Refinancing and Supplemental Loans
  • New Forms 
  • Related Office of Archictecture and Engineering Processes
  • Other Helpful Tips and Updates


 - Click to view PDF (or right-click to download)


- Click to view Part 1 of 3  (Introduction, Legal Requirements, Navigating the New Handbook and Regulations, Overview of Pre-Application and Application Process)

- Click to view Part 2 of 3 (Eligibility Requirements for 223f Refinancing, Policies for Refinancing and Supplemental Loans, Other Policies)

- Click to view Part 3 of 3 (New Forms, OAE Processes Related to 223f, Portfolio Management Perspective, Updates)

Presentation Slides

 - Click to view PDF (or right-click to download)

Extra Materials

 - Loan-to-Value Worksheet (Click to view or right-click to download)
 - Loan-to-Value Worksheet Instructions (Click to view or right-click to download)
 - Form-2264 (Mortgagee Courtesy Version) (Click to view or right-click to download)