Going-concern and operator finance
Finance for care operators that is sized on the trading business, the EBITDARM profit and the going-concern value, rather than on the property alone.
What going-concern and operator finance is
Going-concern and operator finance is lending sized on a care home as a trading business. Rather than valuing the property as bricks and mortar, the lender values it as a functioning home, on a going-concern basis, and sizes the loan against the trading profit it generates. It is the commercial mortgage framework that the specialist healthcare lenders use for genuine operators. This is finance to run a care home as a business, not help with paying care fees.
The measure at the centre of this is EBITDARM: earnings before interest, tax, depreciation, amortisation, rent and management charges. It strips out the financing and ownership choices and shows the underlying profit the home produces from caring for residents. Lenders apply a multiple to a sustainable EBITDARM figure to arrive at the going-concern value, and they size the loan so that EBITDARM covers the debt service with comfortable headroom.
This approach lets a well-run operator borrow against the strength of the business, not just the value of the building. A home with high occupancy, a strong private-fee mix and tight cost control supports more debt than its bricks-and-mortar value alone would suggest, because the trading is what repays the loan.
Sector margins make the model work. Knight Frank reported an average EBITDARM margin of 30.1 percent of income in FY2024/25, rising to around 40 percent on nursing in the strongest regions such as the East of England. We place operator finance with the lenders that underwrite this way, including Shawbrook, OakNorth and Allica Bank.
- Lending sized on the trading business, not just the property
- Going-concern valuation, on an EBITDARM multiple
- Loan sized so EBITDARM covers the debt service with headroom
- Rewards high occupancy, a strong fee mix and tight cost control
- The framework specialist healthcare lenders use for real operators
- Placed with Shawbrook, OakNorth and Allica Bank
Indicative terms
- Loan sizeFrom around 250,000 pounds, scaling with trading profit
- LeverageTo around 70 percent of going-concern value
- Sizing basisA multiple of sustainable EBITDARM
- Term15 to 25 years
- RateIndicatively from around 7 to 9 percent, or a margin over base or SONIA
- Interest coverEBITDARM to cover debt service, often around 1.4 to 1.5 times
- Key testsOccupancy, fee mix, staff and agency costs, CQC rating
- SecurityFirst charge plus debenture over the operating company
Indicative only. Terms vary by lender, scheme and borrower and are not an offer of finance.
Who it suits
- Established operators borrowing against the strength of a trading home
- Care groups financing a portfolio on consolidated trading performance
- Operators whose business value exceeds the bricks-and-mortar value
- Buyers acquiring a going concern with the staff and residents in place
- Owners raising debt for expansion against improving EBITDARM
Discuss going-concern and operator finance
A view on fundability within one working day.
How operator finance is assessed
Normalise the accounts
We work through the trading accounts to arrive at a sustainable EBITDARM, adjusting for one-offs, owner costs and any non-recurring items.
Going-concern value
We and the lender apply a sensible multiple to that EBITDARM to set the going-concern value the loan is measured against.
Size and structure the loan
The loan is set so EBITDARM covers the debt service with headroom, within the lender's leverage limit on going-concern value.
Valuation and completion
A specialist valuer confirms the going-concern value, due diligence covers the CQC and operating company, and the facility completes.
Who can borrow and what lenders look for
Going-concern finance is for genuine operators, so lenders underwrite the business as much as the property. They want trading accounts that show a sustainable EBITDARM, stable or rising occupancy, a sensible split between private and local-authority fees, controlled staff and agency costs, and a Good or Outstanding CQC rating. They look at length of stay, the local market and the quality of the management team, because a home is only as strong as the people running it. A first-time operator can still access this framework where an experienced registered manager is in place and the projections are credible, though the multiple and leverage will be more conservative until a trading record builds. We normalise the accounts to present a defensible EBITDARM, explain any historic variance, and put the operating strength of the business in front of the lenders that lend on it.
How much you can borrow
Operator finance is sized in two linked steps. First, the lender sets a going-concern value by applying a multiple to a sustainable EBITDARM, so the stronger and more stable the trading profit, the higher the value. Second, they lend up to around 70 percent of that going-concern value, and they size the loan so that EBITDARM covers the debt service comfortably, often at around 1.4 to 1.5 times. Because both steps key off EBITDARM, improving the trading profit lifts both the value and the affordable loan, which is why a home running at high occupancy with a strong private-fee mix borrows materially more than a similar building trading weakly. With sector EBITDARM margins around 30.1 percent of income, per Knight Frank for FY2024/25, a well-run home generates real borrowing capacity. We model the sustainable EBITDARM and the resulting loan before approaching lenders, so the figure is grounded in the business.
Rates and costs
Operator finance is priced as a commercial mortgage, indicatively from around 7 to 9 percent, set by the strength of the trading, the CQC rating, the leverage and the term, and quoted as a fixed rate or a margin over base or SONIA. The stronger the EBITDARM and the more stable the occupancy, the keener the pricing, because the loan is better covered. Expect a lender arrangement fee of around 1 to 2 percent, a specialist going-concern valuation, which costs more than a bricks-and-mortar valuation because it assesses the business, legal fees, and sometimes an annual trading review on larger facilities. We disclose our broker fee in writing, compare the total cost across the lenders that underwrite on EBITDARM, and never claim an exclusive tie to any lender, so the deal is chosen on its merits.
Operator finance, a bricks-and-mortar loan or a lease
Going-concern operator finance is the right framework when you run the home and the value of the business exceeds the value of the building. A plain bricks-and-mortar commercial mortgage, sized only on property value, would lend less and miss the trading strength, so it suits an investor buying to let rather than an operator. If you would rather release the property value entirely and run the home under a lease, a sale and leaseback splits the operating company from the property company and is the alternative to holding the freehold with operator debt. Most operators use going-concern finance because it rewards the business they have built; we will model it against a lease structure where releasing capital is the priority, so you can see both routes.
Going-concern and operator finance: common questions
Is a care home business profitable in the UK?
Well-run homes are profitable: Knight Frank reported an average EBITDARM margin of 30.1 percent of income in FY2024/25, rising toward 40 percent on nursing in the strongest regions. Profitability is driven by occupancy, the private-fee mix and control of staff and agency costs, which is exactly what going-concern lenders underwrite.
What is EBITDARM and why does it matter for finance?
EBITDARM is earnings before interest, tax, depreciation, amortisation, rent and management charges. It shows the underlying profit a home produces from caring for residents, stripped of ownership and financing choices. Lenders apply a multiple to it to set the going-concern value and size the loan against it, so a higher EBITDARM means more borrowing capacity.
Can I get a 100 percent commercial mortgage on a care home?
A 100 percent loan against the property alone is not realistic, but combining senior debt at around 70 percent of going-concern value with a mezzanine layer can lift total leverage higher on a strong trading home or scheme. We model the full structure rather than chasing a single high-percentage figure.
How is a care home valued for finance?
A specialist valuer assesses the home on a going-concern basis, valuing it as a functioning business by applying a multiple to a sustainable EBITDARM, rather than as vacant bricks and mortar. This usually produces a higher value for a well-trading home, which supports a larger loan.
Can a first-time operator get going-concern finance?
Yes, where an experienced registered manager is in place and the trading projections are credible. The leverage and the EBITDARM multiple will be more conservative until a trading record builds, but the framework is open to new operators with the right team.
Discuss going-concern and operator finance
Send us your scheme and we will come back with a view on fundability and likely terms within one working day.