Medical Office Property Loans

Q: Can SBA 504 be used to buy or refinance a medical office building?

Yes—SBA 504 is ideal for owner-occupied medical offices, including clinics, dental practices, and urgent care centers. The practice must occupy at least 51% of the property.

Buy, Refinance, or Build Out Your Medical Office

Finance medical office buildings, clinics, and outpatient centers with SBA 504 and conventional loans from $1M to $20M — up to 90% of project costs for owner-occupiers. Get a soft quote in 1–2 business days.

Apply for a Loan →Schedule a Call

Modern dental clinic room with red chairs, dental equipment, and a wood-paneled wall with air conditioning.

Since 2002 · $6.5B+ Funded · $1B AUM

Lending Solutions for Healthcare Real Estate

AVANA finances the real estate behind care — medical office buildings, clinics, and outpatient centers — with the discipline of a private-credit investment platform. From physician-owned properties to institutional MOB portfolios, we structure financing around the sticky tenancy, specialized build-outs, and long-term leases that define healthcare assets.

Healthcare-Specialized Underwriting

From physician-owned MOBs to institutional portfolios — including the build-outs and regulatory nuances generalists miss

Keep Capital in the Practice

Up to 90% of project costs means less cash locked in real estate — more for staff, equipment, and tech

Straight, Fast Answers

A soft quote in 1–2 business days from a team that closes medical deals

Loan Options for Medical Office

SBA 504 Loans

Long-term, fixed-rate financing with up to 90% total project costs for qualifying owner-operators. Ideal for acquiring or expanding hotels with strong sponsorship and occupancy outlooks.

Explore SBA 504 Program →

Conventional Term Loans

Long-term financing for stabilized, income-producing medical office assets — suitable for refinancing maturing debt or acquiring buildings with proven cash flow.

Explore Conventional Program →

Bridge Loans

Short-term, interest-only capital for medical properties in transition — lease-up, repositioning, or partner buyouts — before permanent financing.

Explore Bridge Program →

Key Terms & Structures

Rates and structures vary depending on loan type and borrower qualifications

Loan Sizes

Approximately $1MM to $20MM

Terms

Mid-term options up to 10 years and long-term options up to 25 year

Leverage

Up to 75% LTV or up to 90% total project costs for qualifying SBA 504 structures

Pricing

Typically indexed to CMT benchmarks with program-specific spreads

What You Can Finance

Medical office loan proceeds can support

Purchasing or refinancing owner-occupied MOBs and clinics.

Acquiring multi-tenant medical buildings or condominiums.

Funding interior buildouts, technology upgrades, and patient-experience improvements.

Restructuring existing debt to improve cash flow and support practice growth.

Institutional Capital Behind Your Deal

Through the AVANA–Oaktree Private Credit Partnership, we deliver institutional-grade bridge financing to experienced multifamily sponsors — combining AVANA's sector expertise with Oaktree's private-credit platform to sharpen pricing and accelerate funding timelines

Hotel entrance with large pillars, palm trees, and evening lighting under blue sky.

A Streamlined Process

We make financing simple, transparent, and fast from application to funding

Submit Application

Submit your application with pre-qualification documents. We’ll review and issue a soft quote within 1-2 business days

Review

We review initial documents and confirm loan structure and key terms. If the deal meets criteria, we issue a Letter of Intent with proposed terms

Approval & Terms

We complete underwriting and order third-party reports as needed. Credit team issues final approval when complete (timing can vary)

Closing & Funding

We prepare final loan documents, open escrow, and coordinate closing. Funds are released once closing requirements are met

Proven Success Stories

We’ve helped businesses across industries

Featured

38-Unit Multifamily in Newark, NJ

Loan Purpose:

Cash-Out Refinance

Asset Class:

Multi-Family

Loan Amount:

$5,450,000

Featured

The Hotel Majestic in San Fancisco, CA

Loan Purpose:

Cash-Out Refinance

Asset Class:

Hotel

Loan Amount:

$5,500,000

Frequently asked questions

Find answers to common questions

Can SBA 504 be used to buy or refinance a medical office building?

Yes — SBA 504 is ideal for owner-occupied medical offices, including clinics, dental practices, and urgent-care centers. Your practice needs to occupy at least 51% of the property, and the building becomes the collateral — so the loan is structured for long-term stability, not a short hold.

Do you finance multi-tenant medical buildings or medical condos?

Yes, if the borrowing practice occupies a majority of the space. For non-owner-occupied properties, conventional term loans may be available depending on lease structure and tenant quality.

What refinance options are available for medical properties?

We refinance via SBA 504 (for properties held 2+ years) and conventional loans, with options to reduce rates, restructure debt, or access growth capital.

Are special-use medical facilities eligible (e.g., surgical centers, dental labs)?

Yes—assuming the facility is compliant with regulatory standards and demonstrates stable operating performance.

How much can I borrow, and what are the terms?

Loans run approximately $1M to $18M, with mid-term options up to 10 years and long-term up to 25 years. Leverage goes up to 75% LTV, or up to 90% of project costs on qualifying SBA 504 structures.

How much do I need to put down?

For qualifying owner-occupied SBA 504 projects AVANA finances up to 90% of project costs, so eligible owner-operators can keep more capital in the practice. Your exact down payment depends on the property and your operating history.

How fast will I hear back, and what happens next?

You'll get a soft quote in 1–2 business days after we review your pre-qualification documents, then it's four steps: soft quote → LOI → underwriting & third-party reports → closing and funding.

Ready to Finance Your Practice's Real Estate?

Tell us about your property and get a soft quote in 1–2 business days — clear terms, one team, and a straight answer from a lender that's funded $6.5B+ since 2002.

Apply for a Loan →Schedule a Call ↗

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Our Team

About Sanat Patel

As Chief Lending Officer at AVANA Companies and Chair of the Board at AVANA Bank, Sanat Patel brings more than three decades of experience in financial services, private credit and commercial banking, with a proven track record in loan structuring, risk management, and balance sheet growth. Sanat has led strategic initiatives that connect institutional capital with entrepreneurial ambition, supporting the growth of businesses, and owners engaged in commercial real estate across the U.S. He has built and scaled lending platforms in partnership with banks and credit unions, developing tailored financial solutions that drive job creation and foster inclusive economic development.

Sanat Patel

Chief Lending Officer