Finance

Assisted living and care acquisition finance

We arrange funding to buy a supported living investment, a registered care home or the company that operates one, anywhere in the UK.

Matt Lenzie
Written and reviewed by Matt Lenzie Founder & Principal Broker · 25 years arranging commercial property finance

Buying a supported living investment or care business

Assisted living and care acquisition finance is debt raised to buy a specialist supported housing or supported living property, a residential or nursing care home, or the trading company that operates one. The credit test depends on what you are buying. A supported living home let on a long, index-linked lease to a registered provider is underwritten on the lease and the provider covenant: lease length, the indexation, the strength of the registered provider or registered social landlord, and the vacant possession value of the building as the downside. A trading care home is underwritten as an operating business: its EBITDARM, mature occupancy, the mix of private and local-authority funded residents, the CQC rating, the number of beds and the going-concern valuation.

We work with banks, debt funds and specialist healthcare lenders who understand both worlds, and we place each acquisition with the funder whose appetite fits the asset and the buyer. The UK assisted living market is estimated at £11.5bn and has grown around nine percent a year over the past five years on IBISWorld, Assisted Living Facilities in the UK research, and forecast healthcare property transactions reached around £12bn for 2025 on Knight Frank, UK Healthcare figures, so lender activity in the sector is deep. We manage the whole process, from the first indicative terms through valuation and due diligence to drawdown, whether you are an established operator adding a home, a portfolio landlord buying a leased supported living unit, or a first-time entrant.

Key features

  • Funds the purchase of a supported living property, a care home, or the operating company behind it
  • Lease-backed supported housing sized on the lease and the registered-provider covenant
  • Trading care homes sized on operator EBITDARM, occupancy, fee mix and going-concern value
  • We compare loan to value, rate and structure across multiple lenders before you commit

Indicative terms

  • Loan size£250k to £25m+ (indicative)
  • Loan to valueUp to 70 to 75% on a leased supported living asset; 65 to 70% of going-concern value on a trading home
  • Term5 to 25 years
  • RateFrom around 6.5% (asset and covenant dependent)
  • Arrangement feeTypically 1 to 2%
  • StructureAsset or share purchase

Indicative only. Terms vary by lender, scheme and borrower and are not an offer of finance.

Who it suits

  • Investors and landlords buying supported living let on a long lease to a registered provider
  • Operators acquiring an additional care or nursing home, or a small portfolio
  • First-time buyers purchasing an established care business with management in place

Discuss care and supported living acquisition finance

A view on fundability within one working day.

How is a supported living or care asset valued for lending?

There are two valuation bases, and the right one depends on the asset. A specialist supported housing or supported living property let on a long lease is valued on its rental income: the contracted, index-linked rent from the registered provider, capitalised at a yield that reflects the lease length and the strength of the covenant. Indicative net yields on supported housing let on long index-linked leases to a registered provider run around 5 to 6% on Knight Frank UK Living Sectors Yield Guide / market commentary, though that varies sharply with the lease terms and the provider. The valuer will also assess the vacant possession value of the building as the downside, because if the lease falls away that residual value is what the lender relies on.

A trading care home is valued as a going concern. The valuer builds up from the sustainable EBITDARM, mature occupancy, the fee mix between private and local-authority funded residents and the CQC rating, then applies a multiple or capitalisation rate. Average mature care home occupancy ran at 88.7% in 2025 and the average operator EBITDARM margin was 30.1% on the Knight Frank UK Care Homes Trading Performance Review 2025. Indicative going-concern value sits at £100,000 to £150,000 per bed for a modern, well-occupied purpose-built home on Knight Frank / care market commentary, with older and converted stock materially lower. That going-concern figure is usually well above the bricks-and-mortar value, and lenders differ on which basis they will use, so placing the deal with the right funder matters.

How much can you borrow to buy a care or supported living asset?

For a supported living investment let on a long lease to a registered provider, lenders typically advance up to around 70 to 75 percent loan to value against the lease, because the income is contracted and indexed. For a trading care home, lenders usually advance up to around 65 to 70 percent of the going-concern value, with the strongest terms reserved for modern, purpose-built homes with a settled CQC rating and a track record. Loans run from around 250,000 pounds to many millions.

On a trading home the headline loan to value is only one of two ceilings. The lender also sizes the loan so the EBITDARM covers the debt service with a clear margin, and on a full price that cover test, not the loan to value, often sets the final number. On a leased supported living asset the equivalent test is rent cover against the contracted lease income. We model both before you offer, so you know your real borrowing ceiling and the equity you need. Plan for roughly 25 to 35 percent of the price in cash, plus stamp duty, legal, valuation and arrangement costs.

Should you buy the property or the operating company?

There are two ways to buy a care business. An asset purchase buys the freehold home, the registration and the goodwill directly. A share purchase buys the company that owns and operates the home, taking on its history, contracts, CQC registration and tax position. Share purchases can carry a stamp duty saving and keep the trading record and the CQC registration intact, which matters because a fresh registration takes time, but the buyer inherits the company's liabilities, so due diligence is heavier and some lenders prefer the cleaner asset route.

The structure changes how the finance is built. On a share purchase the lender typically takes a debenture over the company and security over the property within it, and wants comfort on historic liabilities and on the continuity of the CQC registration and the management. On an asset purchase the security is a straightforward charge over the home. For a leased supported living property the question rarely arises, because the buyer is acquiring the freehold investment subject to the lease. We arrange funding for each route and flag early where a lender's preference would change the terms.

What does a lender want to see from the buyer?

For a trading care home the lender underwrites the home first: three years of accounts where they exist, the occupancy history, the fee mix between private and local-authority residents, the staffing and agency reliance, the CQC rating and any enforcement history, and the bed numbers and room sizes against modern standards. It wants evidence the EBITDARM is durable rather than propped up by under-investment. For a leased supported living asset it underwrites the lease and the registered provider instead: the unexpired term, the indexation, the repairing obligations and the financial strength and regulatory standing of the provider.

It then underwrites you. An experienced operator adding a home is straightforward. A first-time buyer is financeable too, but the lender will want a credible operating plan, usually an experienced registered manager and a clear route through CQC, and evidence you understand the cost base and the fee-funding landscape. We help shape that pack so the case lands well, and we match first-time buyers with the lenders who genuinely back new entrants in the sector.

Which assisted living and care assets qualify?

Lenders fund the full spread of the sector: specialist supported housing and supported living let to registered providers, exempt accommodation and lease-based supported housing, residential and nursing care homes, extra care and retirement living schemes, and care or supported-housing portfolios. Modern, purpose-built homes and well-structured long-lease supported living attract the widest appetite and the keenest pricing, because the income is most proven and the security strongest.

Converted and older stock, short unexpired leases and smaller or single-asset operators need more careful placement. A lease-based supported housing property depends entirely on the lease and the provider, and lenders look closely at the headlease versus the underlying registered-provider arrangement and at the regulator's scrutiny of lease-based providers. A care home with a requires-improvement CQC rating or heavy local-authority fee reliance narrows the field. We know which lenders lean into each format, so the deal goes to funders already comfortable with it instead of being shopped blind.

Worked example: buying a leased supported living portfolio

Take an investor buying three supported living houses for 1.8 million pounds, each let on a new 20 year, CPI-linked, full repairing and insuring lease to a registered provider, producing a combined rent of around 108,000 pounds a year, a gross yield of about six percent. Because the income is contracted and indexed and the provider covenant checks out, the lender values the investment on the lease and offers 72 percent loan to value, an advance of around 1.3 million pounds, with the investor funding roughly 500,000 pounds of equity plus costs.

On an indicative rate in the region of 6.75 percent over a 25 year term, the lease income covers the debt service with a comfortable margin, and the lender takes comfort from the vacant possession value of the houses as its downside if the lease ever fell away. The investor holds a hands-off, index-linked income stream and plans to add further units as capital allows.

This is illustrative only. The actual advance, rate and term depend on the lease, the provider covenant, the property and the borrower, and any figures here are not an offer of finance.

Illustrative worked example only. Figures vary by lender, asset and borrower and are not an offer of finance.

FAQ

Care and supported living acquisition finance: common questions

Is buying a care home or supported living property a good investment in the UK?

The sector is underpinned by demographics: the UK population aged 85 and over is projected to reach around 3.0 million by mid-2043 on Office for National Statistics, national population projections, while care bed supply has fallen to 26.7 beds per 100 people aged 85+ on Nuffield Trust, Care home bed availability. Like any investment it carries risk, and lenders price each asset on its own lease or trading record. We arrange the debt; the investment decision and its diligence are yours, with your own advisers.

Do I need to buy the operating company to acquire a care home?

Not always. You can buy the freehold and goodwill as an asset purchase, or buy the company that holds the home and its CQC registration as a share purchase. A share purchase keeps the registration and trading record intact and can save stamp duty, but you inherit the company's liabilities, so diligence is heavier. We arrange funding for either route and flag where a lender prefers one.

How much deposit do I need to buy a supported living or care property?

Indicatively, plan for around 25 to 35 percent of the price in equity, plus stamp duty, legal, valuation and arrangement costs. A long-leased supported living investment with a strong registered-provider covenant can reach the higher leverage end; a trading care home sized on EBITDARM and going-concern value usually needs more equity. We model the real ceiling against the specific asset before you offer.

What are the main risks of a care acquisition?

For a trading home the risks are paying a full multiple for earnings that then soften, occupancy or fee pressure, a CQC downgrade, staffing and agency cost inflation, and operational drift after the seller departs. For leased supported living the risk sits with the lease and the provider covenant, including regulator scrutiny of lease-based providers and void or repairing risk. Sensible leverage, conservative cover and proper diligence address most of it.

Is this lending regulated?

Lending to a company or an experienced investor buying a supported living or care asset for commercial purposes is normally unregulated business lending. Where a case involves an individual or an owner-occupier and falls within the regulated mortgage definition, we refer it to an appropriately authorised firm. We are an arranger and introducer, not a lender.

Discuss care and supported living acquisition finance

Send us your scheme and we will come back with a view on fundability and likely terms within one working day.