Medical & Healthcare Commercial Loans

Understand what lenders evaluate for healthcare properties—and how to prepare a complete, approvable package.

Commercial real estate financing for medical offices, clinics, and healthcare facilities across the USA and Canada—structured for acquisitions, buildouts, renovations, and refinancing.

Why Medical & Healthcare Properties Are Financed Differently

Medical and healthcare facilities are specialized commercial properties tied to regulated operations, custom buildouts, and critical tenancy.

Lenders often evaluate additional layers of risk beyond the property itself, including:

Healthcare properties are financeable, but the underwriting package must be comprehensive, professionally presented, and detailed.

Common Healthcare Property Types

Eligibility varies by lender, but healthcare financing often includes:

Medical Office Buildings (MOBs)

Primary care and specialty clinics

Dental and orthodontic offices

Urgent care facilities

Imaging centers (facility-specific)

Ambulatory Surgery Facilities

Physical therapy / rehab clinics

Behavioral health outpatient facilities

Veterinary clinics

Why Healthcare Borrowers Seek Commercial Loans

Healthcare borrowers pursue financing for various strategic reasons:

Owner-occupied purchase

Practices purchase their building to gain ownership rather than leasing commercial property space.

Investment acquisition

Purchase healthcare-tenant properties for long-term stable leases and predictable income.

Tenant improvement (TI)

Finance upgrades or construction of clinical spaces to meet operational needs.

Expansion or relocation

Relocate to larger facilities, better locations, or enhance patient flow and operational efficiency.

Renovation / rehab

Modernize rooms, systems, accessibility, or ensure compliance with regulations and standards.

Cash-out refinance

Access property equity when performance and lender guidelines allow additional borrowing.

Healthcare Underwriting Factors Lenders Care About

Lenders typically focus on operational, property, and tenant metrics:

How the Process Works

STEP 1

Initial Review

Evaluate property details, tenant strength, operator experience, and financing goals to determine transaction viability.

STEP 2

Financial & Operational Analysis

Analyze revenue sources, payor mix, operating expenses, and cash flow trends to evaluate financial stability.

STEP 3

Program Selection

Match borrower goals with suitable acquisition, buildout, refinance, or cash-out healthcare financing structures.

STEP 4

Documentation

Gather financial statements, leases, licenses, permits, and operational records required for lender review.

STEP 5

Underwriting & Approval

Lender evaluates regulatory compliance, operational risk, property quality, and borrower strength before issuing approval.

STEP 6

Initial Review

Complete final documentation, confirm loan terms, and fund proceeds to successfully close the transaction.