Care and supported housing portfolio finance
Funding for multi-asset care and supported-housing portfolios, from cross-collateralised facilities to the acquisition and refinance of whole operator and investment groups.
Funding care portfolios
A care or supported-housing portfolio is a group of assets financed and managed together rather than one at a time. It might be several trading care homes under one operator, a spread of supported living and exempt-accommodation properties let to one or more registered providers, or a mixed group of both. Multi-asset borrowers typically fund at portfolio level, with a single cross-collateralised facility secured across the assets and covenants set on portfolio loan to value and portfolio cover, so a strong asset carries a weaker one.
Portfolio finance covers three broad situations: consolidating debt across assets already owned, acquiring an operator or investment group with its assets, and refinancing a platform to fund the next phase. Each is underwritten on the blended position across the portfolio, and the underwriting splits by asset type, care homes on operator EBITDARM and occupancy, supported housing on the leases and the provider covenants, with care taken where the two are mixed and where several providers or operators sit inside one group. We arrange this debt as arranger and introducer, not as a lender.
What we fund
- Multi-home care portfolios under a single operator
- Supported living and exempt-accommodation portfolios let to registered providers
- Mixed portfolios combining trading care and lease-backed supported housing
- Cross-collateralised facilities with portfolio LTV and cover covenants
- Acquisitions of operator or investment groups by share or asset purchase
- Facilities with accordion and capex tranches for further acquisitions and works
Indicative terms
- Typical lot size (indicative)£3m to £75m and above
- Portfolio LTV (indicative)Up to ~60 to 70% of blended value
- Term rates (indicative)From around 6%
- Structure (indicative)Accordion and capex tranches available
Indicative only. Terms vary by lender, asset and borrower and are not an offer of finance.
Funding a multi-asset care or supported-housing platform
We arrange portfolio facilities that bring a group's assets under one loan, sized against the blended valuations and the combined income, whether that income is trading EBITDARM on care homes, lease rent on supported housing, or a mix. For acquisitions of operator or investment groups we structure the debt around the deal, whether it proceeds as a share purchase or an asset purchase, and we layer mezzanine or joint venture equity above the senior facility where the buyer wants to stretch. For growing platforms we negotiate accordion tranches that pre-agree headroom for further acquisitions and capex tranches for works and re-registration, so the borrower is not re-papering the whole facility each time an asset is added. We act throughout as arranger and introducer to lenders and capital partners, not as a lender.
Which lenders fund care and supported-housing portfolios
Portfolio lending here is led by specialist healthcare and social-housing lenders, challenger banks and debt funds with operational real estate teams, because the underwriting is closer to corporate credit than to single-asset property lending. Credit teams build the analysis asset by asset, then test the platform. On care homes they look at EBITDARM, occupancy against the 88.7% national benchmark on the Knight Frank 2025 review, fee mix and CQC ratings across the group, and the depth of central management. On supported housing they look at the leases, the registered-provider covenants and the regulator's view of those providers, with concentration in any single provider a key test. Cross-collateralisation lets stronger assets support weaker ones inside one facility, and where a group mixes care and supported housing, lenders underwrite each strand on its own logic before blending. We assemble the asset-by-asset pack and the platform analysis so the credit team can underwrite the whole group.
The market for care and supported-housing portfolios
Portfolios are the most sought-after form of investment in the sector, because they offer buyers immediate scale, an operating team or provider relationships, and central overheads already spread across many assets. The healthcare property market is deep, with Knight Frank forecasting around £12bn of transactions in 2025 and institutional capital, healthcare REITs and private equity active consolidators, while CBRE recorded £3.2bn into the wider UK Living sector in Q3 2025. That appetite gives portfolio owners unusually deep exit options: a sale of the whole platform to a trade or institutional buyer, a sale of clusters of assets, or a long-term hold funded by successive refinances. For lenders the same dynamic supports confidence that a well-run platform can repay through sale or refinance, which underpins leverage and pricing. Mixed care and supported-housing portfolios need the clearest presentation, because the buyer pool for each strand differs.
Finance that suits this asset class
- Acquisition financeDebt for portfolio purchases and operator or investment group acquisitions.
- RefinanceResetting portfolio debt to release equity for the next phase.
- Equity and joint venturesInstitutional capital alongside senior debt on platform deals.
Useful calculators
Related guides
Fund a care portfolios deal
A view on fundability within one working day.
How is a care portfolio financed differently from a single asset?
The defining feature is cross-collateralisation. Instead of separate loans on each asset, a portfolio facility takes security over all of them and sets covenants at platform level, a portfolio loan to value across the blended valuations and a portfolio cover test on combined income. A strong, stabilised care home or a well-let supported-housing scheme can carry a weaker or newer asset, which is impossible when each asset stands alone behind its own loan.
Portfolio facilities also behave differently in operation. Substitution and release mechanics let the owner sell an asset and release it from security against a partial repayment, accordion tranches pre-agree additional debt for future acquisitions, and capex tranches fund works, refurbishment and re-registration across the group. For a growing platform these mechanics matter as much as the headline rate, because they decide whether the facility helps or hinders the next deals. We structure these terms against the owner's pipeline at the outset.
How do lenders underwrite a mixed care and supported-housing portfolio?
A mixed portfolio is underwritten strand by strand before it is blended. The care homes are assessed as operating businesses, on EBITDARM, occupancy against the 88.7 percent national benchmark on the Knight Frank 2025 review, fee mix and CQC ratings. The supported-housing assets are assessed as lease-backed investments, on the leases, the indexation and the registered-provider covenants, with the Regulator of Social Housing's view of those providers central.
Only once each strand is understood does the lender build the platform picture: the blended loan to value, the combined cover, and the balance between trading risk and covenant risk across the group. A portfolio weighted toward stabilised care and strong-provider leases reads more favourably than one carrying turnaround homes and weak providers. We present each strand in its own terms so the lender is not asked to underwrite a care home as if it were a lease, or a lease as if it were a trading business.
How much can a care or supported-housing portfolio borrow?
Indicatively, portfolio facilities run from around £3m for a small regional group to £75m and above for larger platforms, with leverage up to around 60 to 70 percent of the blended valuations and term rates from around 6 percent. The blended figure masks asset-level variety: a mature, well-occupied care home or a strong-provider supported-housing scheme supports more debt than a turnaround home or a property tied to a weak provider.
The binding test is usually portfolio cover on the combined income. Lenders model the platform's blended income after central costs, stress the occupancy, fee and void assumptions, and set the facility where cover holds through the stress case. A portfolio carrying turnaround or lease-up risk is sized more conservatively than its asset value alone suggests, sometimes with leverage stepping up as those assets mature. Where an owner wants more than senior lenders will provide, we layer mezzanine debt or joint venture equity above the senior facility, refinanced out as the platform's income grows.
Share purchase or asset purchase: how does deal structure affect the debt?
Acquiring a care or supported-housing group raises a structural question early: buy the company, or buy the assets out of it. A share purchase takes the operating or investment company whole, with its homes or properties, registrations, provider relationships, staff and history, and the debt is raised against the group with lenders underwriting the company as well as the assets. An asset purchase lifts the homes or properties into the buyer's own structure, which simplifies the lender's security but can complicate the transfer of CQC registrations, staff and provider leases.
On care assets the CQC registration position is central, because a registration does not simply transfer and the buyer must be registered to operate, which the funding timetable has to allow for. On supported housing the provider leases and any nominations agreements need to carry across cleanly. Tax usually drives the seller's preference and price, so the funding structure has to work with the deal the parties will actually sign. We bring lenders in early enough that the financing and the purchase structure are designed together, and on larger deals we introduce equity and joint venture partners alongside the senior debt.
Can you refinance a portfolio to fund further acquisitions?
Yes, and for most growing owners the portfolio refinance is the engine of expansion. As care homes mature and EBITDARM grows, or as supported-housing leases season and indexation lifts the rent, the blended valuation rises, and a refinance at the same portfolio loan to value releases equity to fund the next acquisitions. Run repeatedly, this cycle lets an owner grow a platform substantially without fresh outside equity at every step.
Structure makes the cycle smoother. An accordion tranche pre-agrees additional lending capacity that draws as assets are added, avoiding a full refinance for every deal, while capex tranches fund works and re-registration inside the existing facility. When a platform outgrows its lender, a full refinance into a larger facility, sometimes with a club of lenders, resets the capacity for the next phase. We manage these refinances end to end, assembling the asset-by-asset pack, running the lender process competitively, and negotiating the release pricing, substitution rights and accordion terms that decide how useful the facility is over its life.
Worked example: acquiring a mixed care and supported-housing group
Take an illustrative acquisition: a buyer agrees a £40m deal for a regional group made up of three trading care homes and a spread of supported-living houses let to two registered providers. The care homes contribute trading EBITDARM; the supported-housing properties contribute long index-linked lease rent. These figures are illustrative only and not an offer of finance; any real transaction would be sized on the actual accounts, leases, valuations and deal structure.
A senior portfolio facility at 60 percent of the blended valuations would provide around £24m, cross-collateralised across the assets, leaving £16m to fund from equity or a blend of equity and mezzanine. Suppose the buyer brings £12m of equity and we arrange £4m of mezzanine above the senior debt. The senior facility, at an indicative rate from around 6 percent, carries portfolio covenants: loan to value against the blended valuations and a cover test on the combined income after central costs.
The lender underwrites each strand on its own logic: the care homes on EBITDARM, occupancy against the 88.7 percent national benchmark and CQC ratings, and the supported-housing properties on the leases and the two providers' standing with the Regulator of Social Housing, testing the concentration in each provider. The deal proceeds as a share purchase, so lender diligence covers the company, the CQC registrations and the provider relationships as well as the assets, and the timetable allows for the buyer's own registration.
Three years on, with the care homes trading more strongly and the leases seasoned, the owner refinances: the higher blended valuation supports a larger senior facility at the same 60 percent loan to value, repaying the mezzanine and releasing equity toward the next acquisition. Every figure here is illustrative and intended only to show how a mixed-portfolio capital structure is assembled and then evolves.
Illustrative worked example only. Figures vary by lender, asset and borrower and are not an offer of finance.
Frequently asked questions
What is a cross-collateralised care portfolio facility?
A single loan secured across all the assets in a portfolio, with covenants set at platform level on portfolio loan to value and portfolio cover. Stronger assets support weaker ones inside the same facility, which is why multi-asset owners usually borrow at portfolio level rather than asset by asset.
How are mixed care and supported-housing portfolios underwritten?
Strand by strand, then blended. Care homes are underwritten as operating businesses on EBITDARM, occupancy and CQC ratings; supported-housing assets as lease-backed investments on the leases and the registered-provider covenants. The lender then sets the blended loan to value and cover across the whole group.
Is it better to buy a care group by share purchase or asset purchase?
It depends on the deal. A share purchase keeps the company, registrations and provider relationships intact but needs fuller corporate diligence; an asset purchase simplifies the security but complicates the transfer of CQC registrations, staff and leases. Tax usually drives the seller's preference, and we structure the debt to fit either route.
How much can a care or supported-housing portfolio borrow?
Indicatively from around £3m to £75m and above, at up to around 60 to 70 percent of the blended valuations with term rates from around 6 percent. The binding test is usually portfolio cover on the combined income after central costs, stressed for occupancy, fee and void assumptions.
Funding a care portfolios asset?
Tell us about the deal and we will come back with a view on fundability and likely terms.