Helping Assisted Living Facilities Care for More Residents
Business loans for healthcare facility operators ready to expand, acquire, or refinance facilities.
More Residents.
More Care.
More Opportunities.
The skilled nursing and assisted living industry continues to grow as demand for quality healthcare facilities rises across the country.
Healthcare facilities combine meaningful work with long-term business opportunity.
Many operators continue to see strong demand as aging demographics increase the need for skilled nursing, assisted living, and long-term care services.
For healthcare facility owners, growth creates opportunities to expand care, strengthen operations, and build something lasting within their communities.
Healthcare facilities combine meaningful work with strong business fundamentals.
Building Your Healthcare Facility Business
For many healthcare operators, ownership starts with a vision to create a stronger facility, support their staff, and serve more residents in their community. Whether you're acquiring your first location or expanding your footprint, the right financing can help you take the next step.
Facility Leadership
Ownership Opportunity
Facility Growth
Multi-Facility Ownership
How Financing Can Help You Grow Your Healthcare Facility
Operating a healthcare facility requires ongoing investment. Whether you’re acquiring a facility, expanding your footprint, upgrading operations, or refinancing existing debt, the right financing can help you grow with confidence.

Acquire an Existing Facility
Financing can help you acquire an established skilled nursing or assisted living facility with existing operations, staff, and resident demand already in place.
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Purchase an existing healthcare facility or operator-owned business
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Transition ownership from retiring or exiting operators
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Finance working capital to support operational stability
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Preserve cash flow during ownership transition

Expand Your Facility
Financing can help you increase capacity, modernize operations, and serve more residents as demand for healthcare facilities continues to grow.
- Add beds or expand licensed capacity
- Renovate aging facilities or resident areas
- Expand into additional buildings or campuses
- Invest in operational improvements and modernization

Buy or Renovate Real Estate
Commercial real estate financing can help you purchase, construct, or improve healthcare facilities while building long-term equity.
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Purchase existing healthcare real estate
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Build or expand healthcare facilities
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Renovate facilities to meet operational needs
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Reduce reliance on increasing lease costs

Support Day-to-Day Operations and Growth
Working capital financing can help healthcare operators manage staffing, payroll, equipment purchases, and operational growth.
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Support staffing and payroll needs
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Invest in equipment and facility upgrades
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Manage operational expenses during growth
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Maintain flexibility during reimbursement cycles
Real Projects From the Assisted Living Operators We’ve Helped
Operators across the country are building, acquiring, and expanding facilities that serve their communities. Here are a few examples of projects we have helped finance.

Facility Acquisition & Transition
$2,460,000
A healthcare operator acquired an existing skilled nursing facility from a retiring ownership group. Financing supported the acquisition, working capital needs, and operational transition as the new ownership team expanded services and invested in long-term growth.

Expansion & Renovation
$1,840,000
An assisted living operator secured financing to renovate resident areas, modernize common spaces, and increase facility capacity to meet rising demand for senior housing and long-term care services.

Commercial Real Estate Refinance
$480,000
A multi-location healthcare operator refinanced existing facility debt to improve cash flow, consolidate obligations, and create flexibility for future acquisitions and operational improvements.

Multi-Facility Growth
$4,630,000
An experienced healthcare operator secured financing to support the acquisition and expansion of multiple skilled nursing and assisted living facilities across regional markets as part of a long-term growth strategy.
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Why Skilled Nursing & Assisted Living Operators Choose First Bank of the Lake
Our team specializes in financing skilled nursing and healthcare facilities. We help operators acquire facilities, refinance existing debt, expand locations, and invest in long-term growth.
$2 Billion+
In SBA business funding provided since 2020 — helping entrepreneurs across the country grow and thrive.
Top 3
SBA franchise lender Recognized nationally for helping franchise owners open and expand with confidence. ^
2,000+
SBA loans funded since 2020, supporting business owners at every stage of their journey.
Approved to offer SBA loan products under SBA's Preferred lenders Program.
^Ranked 3rd most active SBA Franchise lender since 2023, (by lending volume) by the U.S. Small Business Administration.
See What Financing Your Healthcare Facility Could Look Like
Use the calculator below to estimate potential financing for your healthcare facility, then talk with a healthcare lending specialist about options for your business.
SBA 7(a) Loan Calculator
Estimate your monthly payment
Adjust the loan amount, repayment term, and interest rate.
How Our Process Works
Tell Us About Your Project
Complete the short form and share a few details about your business goals.
Speak With a Healthcare Lending Specialist
Schedule a 30-minute call with our team to discuss your plans and financing needs.
See If You Qualify for the Next Steps
We’ll review your information and let you know if you’re eligible to move forward.
Financing Built Around How Healthcare Businesses Really Operate
We take a relationship-focused approach to healthcare facility lending, helping operators structure financing around real business goals and operational needs. We evaluate healthcare facilities using operational and financial metrics specific to skilled nursing and assisted living businesses.
Cash Flow
We review facility cash flow and operating performance to better understand how the business supports ownership, reinvestment, staffing, and long-term stability.
Occupancy & Demand
Occupancy trends and resident demand help provide insight into facility performance, operational consistency, and long-term growth potential.
Growth Potential
We evaluate opportunities for expansion, modernization, acquisitions, and operational improvements that support long-term growth.
Staffing
Healthcare facilities rely heavily on staffing stability. We evaluate labor structure, staffing models, and operational efficiency to better understand day-to-day performance.

Talk With a Healthcare Lending Specialist Today
Whether you're acquiring, expanding, or refinancing a skilled nursing or assisted living facility, our team can help you explore financing options designed for healthcare operators. Complete the short form, and a member of our healthcare lending team will contact you to learn more about your goals.
Common Questions About Healthcare Business Financing
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What types of healthcare facilities can qualify for financing?
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Financing may be available for skilled nursing facilities, assisted living facilities, memory care communities, residential care homes, and other licensed healthcare facilities. Programs and eligibility may vary depending on the facility type and project structure
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Can financing be used for acquisitions, expansion, and refinance projects?
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Yes. Healthcare facility financing may be used for acquisitions, expansion projects, renovations, refinancing existing debt, working capital, equipment purchases, and commercial real estate improvements.
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How do lenders evaluate a skilled nursing or assisted living facility?
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Lenders typically evaluate factors such as cash flow, occupancy trends, staffing stability, reimbursement mix, operational history, and overall facility performance. Experience operating healthcare facilities may also strengthen a financing request.
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Can financing include healthcare facility real estate?
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Yes. Financing may include the acquisition, construction, renovation, or refinance of healthcare facility real estate, including owner-occupied properties and expansion projects.
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How long does it take to secure financing for a healthcare facility?
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Every healthcare facility project is different, so timelines can vary significantly depending on the type of financing, property, and transaction structure. In many cases, operators should expect the process to take several months from initial discussions to closing.
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Can financing help support expansion into multiple facilities?
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Many operators use financing to acquire additional facilities, expand into new markets, increase bed capacity, or grow into multi-location ownership over time.
Still have questions about healthcare business financing?
All loans are subject to credit approval. Restrictions and limitations may apply. First Bank of the Lake does not provide tax, legal or investment advice. All decisions concerning these matters should be made in conjunction with your professional advisors.
