# Tower and Wing

> HUD Section 242 hospital mortgage insurance: every FHA-insured hospital loan, eligibility tests, loan sizing, costs and HUD's process, from HUD data.

Tower and Wing is published by Janover Capital LLC. Contact: desk@janover.co.

A free, read-only MCP server for AI assistants is at https://hospital.loans/mcp (search FHA-insured hospital loans, one hospital's loans, portfolio totals, HUD program rules); setup on https://hospital.loans/developers/.

## Pages
- [Every FHA-insured hospital loan, and the tests HUD applies](https://hospital.loans/): Every FHA-insured hospital loan from HUD's files, the Section 242 eligibility tests, loan programs, costs and HUD's process, with dates and sources.
- [About Tower and Wing](https://hospital.loans/about/): Who publishes Tower and Wing, where its hospital loan data comes from, how it is kept current, and how to reach the commercial mortgage team behind it.
- [Send a hospital financing question to the desk](https://hospital.loans/contact/): Send a Section 242, 223(f), 223(a)(7) or 241(a) hospital financing inquiry to the commercial mortgage team at Janover Capital LLC.
- [About the data: HUD hospital loan files](https://hospital.loans/data/): Where the hospital loan figures on this site come from, how current they are, what the fields mean and what HUD's files leave out.
- [FHA hospital loan data for AI assistants and developers: MCP server](https://hospital.loans/developers/): A free, read-only MCP server for AI assistants: search every FHA-insured hospital loan, look up a hospital, portfolio totals and HUD Section 242 rules.
- [Notes from Tower and Wing](https://hospital.loans/guides/): All notes from Tower and Wing, newest first. Every FHA-insured hospital loan, and how HUD's Section 242 program decides.
- [FHA hospital loans since 1968: payoffs and claims](https://hospital.loans/history/): Every FHA-insured hospital loan since 1968 from HUD's files: how many were paid off, refinanced or ended in an insurance claim, and when.
- [Every FHA-insured hospital loan: the Section 242 portfolio](https://hospital.loans/hospitals/): All active FHA-insured hospital loans from HUD's files: hospital, state, program, original amount, rate, maturity and balance, as of the latest HUD file.
- [Baptist Hospital of Southeast Texas](https://hospital.loans/hospitals/baptist-hospital-of-southeast-texas/): Baptist Hospital of Southeast Texas (Beaumont, Texas): 3 active FHA-insured loans, $195.2 million original. Rates, terms, programs, HUD data.
- [Baraga County Memorial Hospital](https://hospital.loans/hospitals/baraga-county-memorial-hospital/): Baraga County Memorial Hospital (L'anse, Michigan): 1 active FHA-insured loan, $27.7 million original. Rates, terms, programs, HUD data.
- [Barrett Hospital & Healthcare](https://hospital.loans/hospitals/barrett-hospital-healthcare/): Barrett Hospital & Healthcare (Dillion, Montana): 1 active FHA-insured loan, $31.9 million original. Rates, terms, programs, HUD data.
- [Baton Rouge General Medical Center](https://hospital.loans/hospitals/baton-rouge-general-medical-center/): Baton Rouge General Medical Center (Baton Rouge, Louisiana): 2 active FHA-insured loans, $243.5 million original. Rates, terms, programs, HUD data.
- [Capital Health System](https://hospital.loans/hospitals/capital-health-system/): Capital Health System (Trenton Hamilton Hopewell, New Jersey): 1 active FHA-insured loan, $755.9 million original. Rates, terms, programs, HUD data.
- [Care New England Health System](https://hospital.loans/hospitals/care-new-england-health-system/): Care New England Health System (Providence, Rhode Island): 1 active FHA-insured loan, $215.5 million original. Rates, terms, programs, HUD data.
- [Chambers Memorial Hospital](https://hospital.loans/hospitals/chambers-memorial-hospital/): Chambers Memorial Hospital (Danville, Arkansas): 1 active FHA-insured loan, $9.9 million original. Rates, terms, programs, HUD data.
- [Colorado West Hospital/Community Hospital of Grand Junction](https://hospital.loans/hospitals/colorado-west-hospital-community-hospital-of-grand-junction/): Colorado West Hospital/Community Hospital of Grand Junction (Grand Junction, Colorado): 2 active FHA-insured loans, $158.5 million original. Rates, terms, progr
- [Community Memorial Health System](https://hospital.loans/hospitals/community-memorial-health-system/): Community Memorial Health System (Ventura, California): 1 active FHA-insured loan, $366.2 million original. Rates, terms, programs, HUD data.
- [Coosa Valley Medical Center aka Sylacauga Health Care Authority](https://hospital.loans/hospitals/coosa-valley-medical-center-aka-sylacauga-health-care-authority/): Coosa Valley Medical Center aka Sylacauga Health Care Authority (Sylacauga, Alabama): 1 active FHA-insured loan, $51.3 million original. Rates, terms, programs,
- [Coquille Valley Hospital District](https://hospital.loans/hospitals/coquille-valley-hospital-district/): Coquille Valley Hospital District (Coquille, Oregon): 1 active FHA-insured loan, $22.0 million original. Rates, terms, programs, HUD data.
- [Coulee Medical Center](https://hospital.loans/hospitals/coulee-medical-center/): Coulee Medical Center (Grand Coulee, Washington): 1 active FHA-insured loan, $18.9 million original. Rates, terms, programs, HUD data.
- [Edgerton Hospital and Health Services](https://hospital.loans/hospitals/edgerton-hospital-and-health-services/): Edgerton Hospital and Health Services (Edgerton, Wisconsin): 1 active FHA-insured loan, $25.9 million original. Rates, terms, programs, HUD data.
- [Electra District Hospital](https://hospital.loans/hospitals/electra-district-hospital/): Electra District Hospital (Electra, Texas): 1 active FHA-insured loan, $11.4 million original. Rates, terms, programs, HUD data.
- [Ellis Hospital](https://hospital.loans/hospitals/ellis-hospital/): Ellis Hospital (Schenectady, New York): 3 active FHA-insured loans, $69.9 million original. Rates, terms, programs, HUD data.
- [Englewood Hospital and Medical Center](https://hospital.loans/hospitals/englewood-hospital-and-medical-center/): Englewood Hospital and Medical Center (Englewood, New Jersey): 2 active FHA-insured loans, $171.9 million original. Rates, terms, programs, HUD data.
- [Health Care Authority of the City of Anniston](https://hospital.loans/hospitals/health-care-authority-of-the-city-of-anniston/): Health Care Authority of the City of Anniston (Anniston, Alabama): 1 active FHA-insured loan, $33.3 million original. Rates, terms, programs, HUD data.
- [Hollywood Presbyterian Medical Center](https://hospital.loans/hospitals/hollywood-presbyterian-medical-center/): Hollywood Presbyterian Medical Center (Los Angeles, California): 2 active FHA-insured loans, $246.3 million original. Rates, terms, programs, HUD data.
- [Holzer Health System](https://hospital.loans/hospitals/holzer-health-system/): Holzer Health System (Gallipolis, Ohio): 1 active FHA-insured loan, $156.8 million original. Rates, terms, programs, HUD data.
- [Humboldt Park Health](https://hospital.loans/hospitals/humboldt-park-health/): Humboldt Park Health (Chicago, Illinois): 1 active FHA-insured loan, $25.3 million original. Rates, terms, programs, HUD data.
- [Johnston Memorial Hospital](https://hospital.loans/hospitals/johnston-memorial-hospital/): Johnston Memorial Hospital (Smithfield, North Carolina): 1 active FHA-insured loan, $134.4 million original. Rates, terms, programs, HUD data.
- [Kaleida Health](https://hospital.loans/hospitals/kaleida-health/): Kaleida Health (Buffalo, New York): 5 active FHA-insured loans, $477.1 million original. Rates, terms, programs, HUD data.
- [Kirby Medical Center](https://hospital.loans/hospitals/kirby-medical-center/): Kirby Medical Center (Monticello, Illinois): 2 active FHA-insured loans, $35.2 million original. Rates, terms, programs, HUD data.
- [Knox Community Hospital](https://hospital.loans/hospitals/knox-community-hospital/): Knox Community Hospital (Mt. Vernon, Ohio): 2 active FHA-insured loans, $70.2 million original. Rates, terms, programs, HUD data.
- [Maimonides Medical Center](https://hospital.loans/hospitals/maimonides-medical-center/): Maimonides Medical Center (Brooklyn, New York): 3 active FHA-insured loans, $375.9 million original. Rates, terms, programs, HUD data.
- [Mainegeneral Medical Center](https://hospital.loans/hospitals/mainegeneral-medical-center/): Mainegeneral Medical Center (Augusta, Maine): 1 active FHA-insured loan, $299.4 million original. Rates, terms, programs, HUD data.
- [Matagorda County Hospital District](https://hospital.loans/hospitals/matagorda-county-hospital-district/): Matagorda County Hospital District (Bay City, Texas): 1 active FHA-insured loan, $41.6 million original. Rates, terms, programs, HUD data.
- [Medical University Hospital Authority](https://hospital.loans/hospitals/medical-university-hospital-authority/): Medical University Hospital Authority (Charleston, South Carolina): 7 active FHA-insured loans, $1.54 billion original. Rates, terms, programs, HUD data.
- [Melissa Memorial Hospital](https://hospital.loans/hospitals/melissa-memorial-hospital/): Melissa Memorial Hospital (Holyoke, Colorado): 1 active FHA-insured loan, $13.2 million original. Rates, terms, programs, HUD data.
- [Metro Pavia Health System](https://hospital.loans/hospitals/metro-pavia-health-system/): Metro Pavia Health System (San Juan, Puerto Rico): 1 active FHA-insured loan, $186.4 million original. Rates, terms, programs, HUD data.
- [New Orleans East Hospital](https://hospital.loans/hospitals/new-orleans-east-hospital/): New Orleans East Hospital (New Orleans, Louisiana): 1 active FHA-insured loan, $95.7 million original. Rates, terms, programs, HUD data.
- [Onslow County Hospital Authority](https://hospital.loans/hospitals/onslow-county-hospital-authority/): Onslow County Hospital Authority (Jacksonville, North Carolina): 2 active FHA-insured loans, $77.7 million original. Rates, terms, programs, HUD data.
- [Oswego Hospital](https://hospital.loans/hospitals/oswego-hospital/): Oswego Hospital (Oswego, New York): 2 active FHA-insured loans, $24.0 million original. Rates, terms, programs, HUD data.
- [Parkview Community Hospital](https://hospital.loans/hospitals/parkview-community-hospital/): Parkview Community Hospital (Riverside, California): 2 active FHA-insured loans, $59.2 million original. Rates, terms, programs, HUD data.
- [Ridgecrest Regional Hospital](https://hospital.loans/hospitals/ridgecrest-regional-hospital/): Ridgecrest Regional Hospital (Ridgecrest, California): 1 active FHA-insured loan, $68.8 million original. Rates, terms, programs, HUD data.
- [San Luis Valley Regional Medical Center](https://hospital.loans/hospitals/san-luis-valley-regional-medical-center/): San Luis Valley Regional Medical Center (Alamosa, Colorado): 1 active FHA-insured loan, $21.2 million original. Rates, terms, programs, HUD data.
- [Sinai Health System](https://hospital.loans/hospitals/sinai-health-system/): Sinai Health System (Chicago, Illinois): 1 active FHA-insured loan, $98.1 million original. Rates, terms, programs, HUD data.
- [St. Barnabas Hospital](https://hospital.loans/hospitals/st-barnabas-hospital/): St. Barnabas Hospital (Bronx, New York): 2 active FHA-insured loans, $77.4 million original. Rates, terms, programs, HUD data.
- [St. Johns Lutheran Hospital](https://hospital.loans/hospitals/st-johns-lutheran-hospital/): St. Johns Lutheran Hospital (Libby, Montana): 1 active FHA-insured loan, $27.1 million original. Rates, terms, programs, HUD data.
- [St. Luke's-Roosevelt Hospital Center](https://hospital.loans/hospitals/st-luke-s-roosevelt-hospital-center/): St. Luke's-Roosevelt Hospital Center (New York, New York): 1 active FHA-insured loan, $319.6 million original. Rates, terms, programs, HUD data.
- [Stillwater Hospital Association](https://hospital.loans/hospitals/stillwater-hospital-association/): Stillwater Hospital Association (Columbus, Montana): 1 active FHA-insured loan, $14.3 million original. Rates, terms, programs, HUD data.
- [The Russell Hospital Corporation](https://hospital.loans/hospitals/the-russell-hospital-corporation/): The Russell Hospital Corporation (Alexander City, Alabama): 1 active FHA-insured loan, $30.2 million original. Rates, terms, programs, HUD data.
- [Toombs County Hospital Authority](https://hospital.loans/hospitals/toombs-county-hospital-authority/): Toombs County Hospital Authority (Vidalia, Georgia): 1 active FHA-insured loan, $74.4 million original. Rates, terms, programs, HUD data.
- [Union Hospital](https://hospital.loans/hospitals/union-hospital/): Union Hospital (Terre Haute, Indiana): 2 active FHA-insured loans, $327.2 million original. Rates, terms, programs, HUD data.
- [University of New Mexico](https://hospital.loans/hospitals/university-of-new-mexico/): University of New Mexico (Albuquerque, New Mexico): 3 active FHA-insured loans, $643.1 million original. Rates, terms, programs, HUD data.
- [Whittier Rehabilitation Hospital](https://hospital.loans/hospitals/whittier-rehabilitation-hospital/): Whittier Rehabilitation Hospital (Bradford, Massachusetts): 1 active FHA-insured loan, $21.3 million original. Rates, terms, programs, HUD data.
- [Wills Memorial Hospital](https://hospital.loans/hospitals/wills-memorial-hospital/): Wills Memorial Hospital (Washington, Georgia): 1 active FHA-insured loan, $12.9 million original. Rates, terms, programs, HUD data.
- [Privacy policy](https://hospital.loans/privacy/): What Tower and Wing collects when you visit or contact us, why, who it is shared with, and how to reach us about it.
- [HUD Section 242 process: steps and how long each takes](https://hospital.loans/process/): How a hospital gets FHA mortgage insurance, from HUD's preliminary review to final endorsement, with HUD's own processing targets and actual times.
- [HUD hospital loan programs: 242, 223(f), 223(a)(7), 241(a)](https://hospital.loans/programs/): The four FHA hospital mortgage insurance programs side by side: what each finances, loan limits, 25-year terms, MIP, fees and the mortgage reserve fund.
- [HUD Section 242 eligibility screen for hospitals](https://hospital.loans/screen/): Check a hospital against HUD's Section 242 tests: the 50% acute care rule, three-year operating margin and debt service coverage, and HUD's red flags.
- [Terms of use](https://hospital.loans/terms/): The terms that apply when you use Tower and Wing, including what the information here is and is not.

## Notes
- [Which hospital debt FHA will refinance](https://hospital.loans/guides/refinancing-hospital-debt-with-fha/): HUD will refinance a hospital's debt under Section 242 or 223(f) only if it is capital debt. Mortgagee Letter 2023-12's three tests, with examples.