Published: ·Last updated: ·By Ed Freeman, Capital Advisor. PeerSense
What is the best financing for medical office at 65% LTV?
Stabilized medical office buildings at 65% LTV qualify for CMBS non-recourse financing with fixed rates typically priced 6.75%–9% for stabilized assets, with the strongest sponsors at 60% LTV reaching 6.25% for 10-year terms. Healthcare tenants with long-term leases and specialized build-outs provide sticky occupancy that CMBS conduits value, resulting in tighter spreads than general office assets.
Published by PeerSense Capital Advisory · Written by Ed Freeman, Founder
Medical Office CMBS Refinance
Stabilized medical office buildings at 65% LTV qualify for CMBS non-recourse financing from approximately 6.25% on the strongest stabilized deals (typical 6.75%–9%). Credit healthcare tenants, long-term leases, and mission-critical occupancy drive tightest spreads.
Minimum 30-35% equity required. Medical office building owners with 90%+ occupancy, credit healthcare tenants (hospital systems, large medical groups), and weighted average lease term of 5+ years.
Deal Parameters at a Glance
LTV Target
65%
Est. Rate Range
6.25% – 11%+ (typical 6.75% – 9%)
Term
5-10 years fixed
Recourse
Non-recourse
DSCR
1.25x minimum
Closing Speed
45-60 days
Min Loan Size
$10 million and up
Loan Products
CMBS
Indicative only, as of September 1, 2026. Not a quote, commitment or offer of credit. Final pricing, leverage and terms are determined by the lender at underwriting, after full transaction materials are reviewed. PeerSense sources the file. The lender sets pricing. What these terms mean.
When Is This the Right Fit?
This financing fits when your medical office building is 90%+ occupied with creditworthy healthcare tenants on leases with 5+ years weighted average remaining term. Medical office is one of the most favored CMBS asset classes because healthcare tenants invest heavily in specialized build-outs (imaging suites, surgical centers, labs) and rarely relocate. If your building is hospital-adjacent or on a hospital campus, you will receive the most competitive CMBS pricing available in the office sector. If occupancy is below 85% or lease terms are short, consider re-leasing before approaching conduits.
Want the full program overview, current rate sheet, and underwriting matrix? See the CMBS Loans guide →
Key Benefits
Strategic Alternatives
Mixed-Use CMBS 65% LTV
If your medical office building includes retail or residential components
Learn more65% LTV Industrial Owner-User Financing
If you are a healthcare operator purchasing your own medical facility
Learn moreCMBS Balloon Maturity Refinance
If your existing CMBS loan is approaching balloon maturity
Learn moreFrequently Asked Questions
See Related Rates by Program
PeerSense covers the full commercial capital stack. Indicative levels that lenders in our network have been pricing across these programs, as of September 1, 2026.
Originator warehouse
$100M a monthFocus $100 million a month. Will look at $10 million a month. $10 million is not the focus.
Invoice Factoring
0.5–3.5% / 30dB2B invoices from $20 million a month. Advance 80 to 95 percent of face.
Bridge Loans
9.00–14.00%$10 million and up. Cash in about 35 percent. Name the takeout first.
Data Center
CRS to 89%$1 billion to $30 billion plus. Signed or guaranteed hyperscaler lease.
Contracted revenue sale
Up to 89%15 year lease signed or guaranteed by a hyperscaler. Size follows the lease.
Hotel Financing
SearchHotel is search only. Public floor $10 million and up. Cash in about 35 percent.
Private Credit
7.80–18.00%Non-bank flexibility. Public CRE floor $10 million and up.
SBA 7(a) & 504
SearchSearch path. Not a growth lane on this desk.
DSCR Investor
SearchSearch path. Public CRE floor $10 million and up.
Indicative only, as of September 1, 2026. Not a quote, commitment or offer of credit. Final pricing, leverage and terms are determined by the lender at underwriting, after full transaction materials are reviewed. PeerSense sources the file. The lender sets pricing. What these terms mean.
Connect with PeerSense, Direct Capital Advisory
PeerSense pre-underwrites every deal before presenting it to our institutional capital sources. With a curated network of lender relationships and live market rate intelligence, we match your medical office deal with the right capital source, right now.
Fee at closing only · Complimentary initial consultation
Published by PeerSense Capital Advisory · Written by Ed Freeman, Founder. Updated September 2026.
Disclaimer: The information on this page is provided for educational purposes only and does not constitute financial, legal, or investment advice. Rates, terms, and availability are subject to change based on market conditions, property characteristics, and borrower qualifications. The rate ranges cited reflect approximate market pricing as of September 2026 and may not reflect current conditions at the time of reading. PeerSense sources capital through a curated network of commercial lenders and capital sources. All financing is provided by third-party lenders subject to their own underwriting criteria and approval processes. Borrowers should consult with qualified financial and legal professionals before making any financing decisions.