Acquisition or Refinance of Hospitals

Property Types: Acute Care Hospital (at least 50% of total patient days must come from acute care services except for critical access hospitals)
Eligible Borrowers: For profit and non-profit entitiesHospital must demonstrate need (obtain CON if required by the state)
Loan Amount: No Minimum/Maximum-Statutory Mortgage Limits (adjusted for locality)
Region: Nationwide
Term & Amortization: Up to 25 years and fully amortizing
General Loan Terms: Loan requirements consist of:

  • Maximum 90% Loan to Value
  • Past three years average operating margin greater than 0
  • Past three years average DSCR greater than 1.25x
Interest Rate: Fixed rate subject to market conditions at the time of rate lock.
Recourse: None except standard carve outs
Assumable: Yes, subject to HUD approval.
Prepayment: Negotiable. Typically loans are prohibited from prepayment for the first 2 years then an 8% penalty declining 1% each year thereafter until 0%
Mortgage Insurance Premium: 1% upfront and .5% annually
Other:
  • Davis Bacon prevailing wages are required for new construction and substantial rehabilitation
  • 20% of the mortgage amount may be used for capital improvements and equipment
    • Escrows required for repairs, mortgage insurance premium, taxes, insurance and replacement reserves
    • Third parties include an appraisal, property condition, needs assessment and Phase I