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MISSOURI — Housing & Healthcare Finance LLC has closed $22.5 million HUD loan for the refinancing of four skilled nursing facilities totaling 596 beds in Missouri. The loan includes a fixed interest rate of 4.39 percent, and the loan-to-value ratio was 66 percent. The borrower plans to use the loan to consolidate the existing mortgage debt and fund approximately $123,000 in repairs and capital improvements. With the new HUD loan, the borrower will save an estimated $335,000 in annual debt service savings, according to Housing & Healthcare Finance.