The HUD 242/223f program provides a streamlined refinance and acquisition process for acute care hospitals – including Critical Access Hospitals.

There is no maximum loan amount; and properties are eligible for a 90% loan-to-value ratio (i.e., can borrow up to 90% of the estimated replacement cost of the project). The costs of new capital projects (i.e., construction and/or equipment) may be included in the loan, provided they are less than 20% of the loan amount, however there is no cash-out.

Creative Solutions

Bedford Lending is an independently-owned banking and financial advisory firm with a specialty focus on providing construction and permanent financing to hospital providers and facilities nationwide. As a direct FHA/HUD and USDA lender we offer the broadest range of hospital financing solutions available.

Our staff is comprised of senior healthcare professionals who have extensive experience in public finance, hospital credit analysis, health care consulting, mortgage banking, economics, and law. We start each process by assessing our client's financing needs and then prepare a financial analysis that clearly delineates all options.

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