The Office of Residential Care Facilities administers the Section 232 loan program. Section 232 is an FHA loan product that provides mortgage insurance for residential care facilities. Nursing homes, assisted living facilities, and board and care are all examples of this type of housing (a project may include more than one type).
Section 232 may be used to finance the purchase, refinance, new construction, or substantial rehabilitation of a project. A combination of these uses is acceptable - e.g. refinance of a nursing home coupled with new construction of an assisted living facility.
- Healthcare Mortgage Insurance Program Handbook 4232.1 REV-1
- Underwriting and Closing Section 232 Loans
- Loan Servicing and Asset Management of 232 Loans
- Section 232 Forms and Documents
- ORCF Environmental Resource Page
- Final Rule for the Section 232 Healthcare Facility Insurance Program -- Strengthening Accountability and Regulatory Revisions Update
- Section 232 Healthcare Facility Insurance Program - Aligning Operator Financial Reports With HUD's Uniform Financial Reporting Standards
- How to Access the 232 Healthcare Portal
- HUD Appraisal Review Form for New Construction
- Sample Limited Guaranty and Security Agreement
- ORCF Policy Drafting Table
- Housing Notice H 2016-15 - Processing Guide for Previous Participation Reviews of Prospective Multifamily Housing and Healthcare Programs' Participants
- Previous Participation Final Rule
- Underwriting Queues and Assignments
- Weekly Processing Statistics
- New Construction Projects 10/16/2020)
- Fiscal Year End Statistics
- FY 2020 Summary Statistics
- FY 2019 Summary Statistics
- FY 2018 Summary Statistics
- FY 2017 Summary Statistics
- FY 2016 Summary Statistics
- FY 2015 Summary Statistics
- FY 2014 Summary Statistics
- FY 2013 Summary Statistics
- FY 2020 Closings
- FY 2019 Closings
- FY 2018 Closings
- FY 2017 Closings
- FY 2016 Closings
- FY 2015 Closings
- FY 2014 Closings
- FY 2013 Closings
- FY 2012 Closings
- FY 2011 Closings
- FY 2010 Closings
Have questions?
- 232 Program Questions and Answers
- Past Email Blasts
- Send program questions or website comments/questions to LeanThinking@hud.gov
Additional Resources
- Current Mortgage Insurance Premiums (MIP) - Unchanged from FY 2014
- Training Presentations
- 2002 MAP Guide - For a historical reference to guidance used prior to issuance of the Section 232 Handbook, please visit the 2002 MAP Guide.
- MAP "Approved Lender List” - For a list of FHA-Approved Lenders please see the "Approved Lender List". Section 232 Lean Lenders are marked with an asterisk.