The Tinch Group

Healthcare Financing

Capital for medical office buildings, hospitals, outpatient clinics, and specialty care facilities

Financing the Future of Healthcare Delivery

Healthcare real estate is one of the most resilient sectors in commercial real estate, driven by aging demographics, the expansion of outpatient care, and the essential nature of medical services. George Smith Partners has extensive experience financing healthcare properties across the care delivery spectrum.

We navigate the specialized underwriting requirements of healthcare assets, including tenant credit analysis, lease structure evaluation, regulatory considerations, and operator quality assessment. Our capital relationships include life companies, banks, CMBS lenders, debt funds, and healthcare-focused specialty lenders.

Healthcare Property Types

Medical Office Buildings

Single- and multi-tenant office properties purpose-built or converted for physician practices and outpatient care.

Hospitals

Acute care hospitals, specialty hospitals, and critical access facilities with complex operating structures.

Ambulatory Surgery Centers

Outpatient surgical facilities performing same-day procedures across multiple specialties.

Outpatient Clinics

Urgent care, diagnostic imaging, dialysis, and specialty treatment centers serving local communities.

Behavioral Health

Psychiatric hospitals, substance abuse treatment centers, and mental health facilities.

Rehabilitation Facilities

Inpatient and outpatient rehabilitation hospitals providing physical, occupational, and speech therapy.

Capital Sources for Mixed-Use

Banks & Balance Sheet Lenders

Relationship lenders comfortable with mixed-use complexity, often providing construction-to-permanent solutions.

  • Construction financing
  • Bridge-to-permanent
  • Flexible structures
  • Local market expertise

Life Insurance Companies

Long-term capital for stabilized mixed-use assets with proven income diversification.

  • Competitive fixed rates
  • Long-term commitments
  • Non-recourse options
  • Portfolio-quality assets

Debt Funds & CMBS

Higher-leverage options for transitional mixed-use projects in lease-up or repositioning.

  • Value-add financing
  • Higher leverage
  • Interest-only structures
  • Speed of execution

JV Equity & Preferred Equity

Institutional and family office equity for large-scale mixed-use developments requiring significant capital.

  • Development equity
  • Preferred equity gap fill
  • Programmatic partnerships
  • Recapitalization capital

Why Mixed-Use Requires Specialized Expertise

Multi-Component Underwriting

Phased Delivery & Draw Schedules

Condominium Regime Structuring

Tax Increment & Public Incentives

Ground Lease Bifurcation

C-PACE & Supplemental Capital

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