Finance

Care home sale and leaseback

Releasing the capital tied up in your care home property by selling the freehold to an investor and leasing it back on a long lease, splitting the operating company from the property company.

Matt Lenzie
Written and reviewed by Matt Lenzie Founder & Principal Broker · 25 years arranging care home finance · Reviewed June 2026

What a sale and leaseback is

A sale and leaseback releases the capital locked in your care home property. You sell the freehold to a property investor and lease it back on a long, full repairing and insuring lease, so you keep running the home while the investor owns the building and receives rent. The structure separates the operating company, the OpCo that runs the care home, from the property company, the PropCo that holds the freehold. This is a way to finance a care home business by releasing property capital, not help with paying care fees.

Because the investor buys the property let to you on a long lease, the price is set by the rent and the yield the investor will accept, not by a lending loan to value. A long lease to a strong operator at a market rent attracts keen pricing, and a sale and leaseback can release up to the full value of the property, well beyond what debt against the same building would advance.

Operators use the structure to fund expansion, to repay debt, to take capital off the table, or to recycle equity into new schemes while continuing to run the homes they know. The trade-off is that you give up the freehold and the future property upside, and you take on a long-term rent obligation with reviews.

Investor appetite is real: Knight Frank put healthcare investment volume at 3.2 billion pounds in FY2024 with elderly care taking 68 percent of deals, and prime yields around 4.5 percent, which is what makes well-let homes attractive to buy. We arrange these structures with the investors and funds active in the sector.

  • Sell the freehold and lease the home back on a long FRI lease
  • Splits the operating company from the property company
  • Priced on rent and yield, not on a lending loan to value
  • Can release up to the full value of the property
  • Funds expansion, repays debt or recycles equity into new schemes
  • Trade-off: rent obligation and loss of property upside

Indicative terms

  • Capital releasedUp to 100 percent of property value
  • StructureOpCo runs the home, PropCo owns the freehold
  • LeaseLong full repairing and insuring lease
  • Lease lengthTypically 20 to 35 years
  • Rent basisMarket rent set against the investor's yield
  • Rent coverTested against the home's trading profit
  • Pricing driverOperator covenant, lease terms and yield
  • Rent reviewsPeriodic, often index-linked or fixed uplift

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

Who it suits

  • Operators releasing capital to fund expansion or new schemes
  • Owners repaying debt by converting property value into cash
  • Groups recycling equity out of mature homes into development
  • Investors and funds acquiring let care homes for income
  • Operators willing to trade property upside for working capital

Discuss sale and leaseback (opco/propco)

A view on fundability within one working day.

Process

How a sale and leaseback works

Structure and rent

We model a sustainable rent the home can afford from its trading profit, and the lease terms an investor will accept, to set the achievable price.

Find the investor

We bring the opportunity to the property investors and funds active in the sector and agree heads of terms on price, rent and lease.

Lease and due diligence

Lawyers draft the long FRI lease and the investor carries out due diligence on the operating business and the property.

Complete and release capital

The freehold transfers to the PropCo investor, the lease completes, and the capital is released to the operating company.

Who can use a sale and leaseback

A sale and leaseback works best for an operator with a trading home strong enough to support a sustainable rent and to present as a sound covenant to an investor. The key test is rent cover: the home's EBITDARM must comfortably afford the rent the investor needs to hit their yield, with headroom, or the structure does not stack up. Investors look at the operator covenant, the CQC rating, occupancy and the fee mix, much as a lender would, plus the strength and length of the proposed lease, because they are buying a long income stream. A home that trades well and a credible long-term operator attract the keenest pricing. The structure is less suited to a home with thin or volatile trading, where the affordable rent would be too low to release worthwhile capital. We model the affordable rent and the achievable price before taking the opportunity to market.

How much capital you can release

A sale and leaseback can release up to the full value of the property, because the investor is buying an asset let to you on a long lease rather than lending against it, so there is no loan to value cap holding back the proceeds. The achievable price is set by the rent and the yield: the price equals the sustainable annual rent divided by the yield the investor will accept, so a lower yield, reflecting a stronger covenant and a longer lease, produces a higher price. Knight Frank put prime elderly-care yields at around 4.5 percent in Q1 2025, with secondary and tertiary stock at higher yields, which is why a well-let prime home releases more capital per pound of rent than a weaker one. The binding constraint is rent cover: the rent must be one the home can afford from its trading profit. We model the affordable rent first, then the price each plausible yield produces, so you see the realistic range before going to market.

Rent and costs

The main ongoing cost of a sale and leaseback is the rent, which replaces the mortgage and any property upside you give up. The rent is set at a market level against the investor's yield, and the lease will carry periodic rent reviews, often index-linked or on fixed uplifts, so the obligation grows over time and should be stress-tested against the home's trading. On the transaction itself, expect legal fees for the sale and the lease, valuation and surveying costs, and the investor's own due diligence costs, some of which may fall to the operator. Because you are giving up the freehold permanently, the real cost is strategic as much as financial: weighing the capital released now against the rent and lost upside over the life of the lease. We model the full picture, disclose our fee in writing, and never claim an exclusive tie to any investor.

Sale and leaseback, refinancing or holding the freehold

A sale and leaseback releases more capital than debt can, because it sells the asset rather than lending against it, but you give up the freehold and the property upside and take on a long-term rent. Refinancing keeps the freehold and releases capital up to around 70 to 75 percent of value, less than a leaseback but without losing ownership or the upside, and on a debt obligation rather than rent. Holding the freehold with operator finance keeps everything but releases the least capital. The right choice turns on how much capital you need and how much you value owning the property: a sale and leaseback suits an operator who needs maximum capital and would rather run homes than own buildings, while refinancing suits one who wants capital but intends to keep the asset. We model all three side by side.

FAQ

Sale and leaseback (OpCo/PropCo): common questions

How much capital can a care home sale and leaseback release?

Up to the full value of the property, because the investor is buying the freehold let to you on a long lease rather than lending against it, so there is no loan to value cap. The price is set by the rent divided by the investor's yield, with the rent constrained by what the home can afford from its trading.

What is the difference between OpCo and PropCo?

The OpCo is the operating company that runs the care home and holds the CQC registration; the PropCo is the property company that owns the freehold. A sale and leaseback separates the two, selling the property to a PropCo investor while the OpCo continues to run the home under a long lease.

What are the downsides of a sale and leaseback?

You give up the freehold and any future growth in the property value, and you take on a long-term rent with periodic reviews that grow the cost over time. The structure only works if the home's trading comfortably affords the rent, so it suits well-trading homes rather than marginal ones.

How is the rent set in a care home sale and leaseback?

The rent is set at a market level that the home can afford from its trading profit and that delivers the investor's required yield. The price the investor pays is the annual rent divided by that yield, so a stronger covenant and a longer lease justify a lower yield and a higher price.

Who buys care homes on a sale and leaseback?

Property investors and funds that want long, secure income from care assets. Knight Frank reported 3.2 billion pounds of healthcare investment in FY2024 with elderly care taking 68 percent of deals and prime yields around 4.5 percent, so there is genuine appetite for well-let homes with strong operators.

Discuss sale and leaseback (opco/propco)

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