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Practices

Financing Long Term Care Facilities

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Baker Donelson has the experience that lenders and borrowers require to navigate around the pitfalls and take advantage of the opportunities involved in financing transactions for long term care and other health care facilities.

Why Baker Donelson?


Includes former in-house counsel from 3 of the top 10 largest nursing home companies in the country
More than 100 professionals with practices dedicated to the long term care industry
Closes more than $3 billion in deal volume in a calendar year
Represent lenders and borrowers in hundreds of millions of dollars in HUD-insured loans each year for long term care and multifamily facilities
Experience with all aspects of long term care, including transactions, financing, regulation, reimbursement, litigation, investigations and enforcement, privacy and security, L&E, financial distress, receiverships, and bankruptcy

Featured Experience


Borrower's counsel on more than 75 Section 232 HUD loans to various nursing home and assisted living operators in 24 states 

Served as borrower's counsel on $104 million portfolio financing of nursing homes.

Borrower's counsel in securitization of large, national portfolio of nursing homes. 

Practice Overview


Successful financing of long term care facilities demands experience and a sophisticated focus in health care, real estate, lending and corporate law. Baker Donelson has the experience that lenders and borrowers require to navigate around the pitfalls and take advantage of the opportunities involved in financing transactions for long term care and other health care facilities. Our attorneys have served as counsel to operators and lenders on a wide range of financing transactions, from single site transactions to large multi-site portfolios. Our experience includes:

  • Traditional mortgage financing
  • HUD 232 insured loans for nursing homes and assisted living facilities
  • HUD 223(f) insured loans for senior housing
  • Equipment leases and loans
  • Accounts receivable financing
  • Securitization/CMBS
  • Fannie Mae loans
  • Freddie Mac loans
  • Sale-leaseback transactions

Preparation and negotiation of effective loan documents form the core of our long term care service. While our scope of work varies with each transaction, our work includes the following:

  • Initial assessment of financing needs
  • Structuring of the transaction in light of the client's goals, with special attention to regulatory and corporate issues
  • Guidance through the letter of intent and loan application
  • Assistance with due diligence (including health care matters, environmental site assessment, property condition report, title insurance, land surveys, corporate and lien searches)
  • Analysis and assistance with change of ownership issues in licensure, Certificate of Need, Medicare and Medicaid
  • Analysis of lock box, cash management and other issues associated with health care accounts receivable financing
  • Opinion letters
  • Coordination of closing
  • Post-closing follow through

Our finance lawyers also have the resources of Baker Donelson's Health Law Group to assist in tackling tough health care issues. Baker Donelson's Health Law Group is widely recognized as a premier national practice.

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