The Office of Healthcare Programs (OHP), previously known as the Office of Insured Health Care Facilities, is located within the Office of Housing and administers FHA's healthcare programs, the Section 232 Mortgage Insurance for Residential Care Facilities program and the Section 242 Mortgage Insurance for Hospitals program. Both programs enable the affordable financing and refinancing of healthcare facility projects nationwide.

FHA's healthcare programs are integral to HUD’s community development mission.  By reducing the cost of capital needed by hospitals and residential care facilities to finance the construction, renovation, acquisition, or refinancing of facilities, these programs improve access to quality healthcare and work to decrease overall healthcare costs.  Since 1934, over 4,000 Section 232 mortgage insurance commitments have been issued in all 50 states.  Since the Section 242 program's inception in 1968, over 400 mortgage insurance commitments have been issued for hospitals in 42 states and Puerto Rico.

The Office of Healthcare Programs is headed by the Deputy Assistant Secretary for Healthcare Programs and includes the following offices:

Office of Residential Care Facilities

The Office of Residential Care Facilities (ORCF) manages the Section 232 program, which provides mortgage insurance for residential care facilities such as assisted living facilities, nursing homes, intermediate care facilities, and board and care homes.  Staff members are located at HUD Headquarters and out-stationed at a number of field locations.  ORCF is comprised of three divisions: Production, Asset Management and Lender Relations, and Policy and Risk Analysis.

Office of Hospital Facilities

The Office of Hospital Facilities (OHF) manages the Section 242 program, which provides mortgage insurance for acute care hospital facilities ranging from large teaching institutions to small rural critical access hospitals.  Staff members are primarily located at HUD Headquarters and New York City, with out-stationed staff in Ft. Worth, Jacksonville, Milwaukee, and St. Louis.  OHF is comprised of two divisions: Underwriting and Asset Management.

Office of Architecture and Engineering

The Office of Architecture and Engineering (OAE) brings architectural and engineering expertise to both the Section 242 and Section 232 programs.  OAE staff members are primarily located in New York City, with additional staff members in Ft. Worth and San Diego.