Senior Housing & Care Financial Advisory Services
Advising investors, operators, and lenders in the senior housing and care industry on underwriting and financial modeling, third-party due diligence, market analysis and feasibility, capital advisory, fractional CIO services, loan package preparation, and training and workshops.
NEW: HUD Express Lane Available
Get FHA 232 refinancing approved in 10-15 days instead of 5 months
Strategic Capital Solutions
Expert guidance designed to solve the 2026 maturity wall and optimize your senior housing capital stack
HUD/FHA 232/223(f) Refinancing
Maximize leverage with up to 90% LTV (non-profit) or 85% (for-profit) and 35-year fully-amortizing terms. Non-recourse debt with a 0.25% annual MIP for stabilized senior housing properties.
Only 1.45x DSCR required—perfect for high-occupancy assets seeking longer-term, lower-rate debt.
FHA 232 New Construction & Substantial Rehab
The ultimate construction-to-perm solution. Single-close financing that covers up to 90% of replacement costs and converts automatically to a 40-year permanent loan.
We navigate the complexities of Davis-Bacon and HUD LEAN processing so you can focus on the build.
Agency Lending: Fannie Mae & Freddie Mac
Institutional speed meets competitive pricing. Ideal for stabilized AL, IL, and Memory Care assets with flexible terms from 5 to 30 years (7, 10, and 12-year terms most popular) and 60-day closings.
Leverage our direct relationships to secure rate-locks at the point of application.
Bridge-to-HUD / Private Credit
Strategic capital for transitional assets. High-leverage, interest-only financing designed for rapid acquisitions, stabilization, or operational turnarounds.
We don't just find you a bridge; we build the exit strategy into the day-one structure.
FHA 232 IRR (Interest Rate Reduction)
Streamlined refinancing for existing FHA 232 loans. 60-90 day processing with no appraisal required—ideal when rates drop 0.50%+ below your current FHA rate.
Lock in savings without the 9-12 month timeline of standard refinancing.
We don't just find loans—we optimize your entire capital stack to minimize WACC
Maximize Senior Debt
Structure to qualify for highest LTV FHA/Agency programs (lowest cost capital)
Optimize Mezzanine/Pref Equity Mix
Balance between tax-deductible mezzanine and equity-like preferred structures
Minimize Equity Drag
Reduce expensive common equity requirements without over-leveraging
Typical improvement through capital structure optimization
Navigate HUD's new Express Lane program to secure FHA 232 refinancing in just 10-15 days. Expert guidance on qualification criteria, application preparation, and underwriter-ready packages for expedited approval.
Experience At
Trusted experience with leading organizations in senior housing and care finance and academic institutions
Testimonials
Trusted by senior housing and care operators, investors, and lenders across the western United States.
"I worked with Justin for years and would gladly again. He not only understands the nuances and complexities of the HUD programs but has a calming demeanor and communicates difficult concepts mellifluously. Justin understands that big-picture goals and small details matter when advising on and executing plans of finance or a corporate strategy and works relentlessly to achieve the goals of his clients."
"Justin offers a wealth of experience in the skilled nursing and seniors housing industries and a deep and sophisticated understanding of the optimal structures to finance the underlying assets and operations. Navigating the challenges and complexities of the FHA 232 program requires a thoughtful, persistent, tenured guide with a proven track record and Justin fits the bill."
"I've known Justin for the past 5 years and have found his expertise in senior housing finance invaluable. He has always been my "go to" guy for any HUD questions and financing. His mastery of the FHA 232 loan programs and HUD loans in general gave us the confidence to move forward with our most recent HUD refinance. Justin guided us through every step—from pre-engagement to closing—delivering insights that maximized value and made the closing process smooth. His industry experience and relationships made all the difference."
Representative Transactions
Real deals closed for senior housing and care operators across multiple property types and lender relationships.
Southwest Region
Mountain West Region
Western Region
Mountain West Region
Northeast Region
National Platform
Client confidentiality maintained in accordance with NDAs. Details approximated for representative purposes.
Discuss Your TransactionMeet Justin LeBell
With a decade of experience in senior housing and care finance, I've worked with some of the industry's leading organizations including KeyBank, Lument, Freddie Mac, HUD, Lancaster Pollard, and Fannie Mae.
I decided to move from institutional banking to independent advisory to provide more unbiased, hands-on strategic partnerships than a large bank can offer. This allows me to focus entirely on what's best for each client without institutional constraints.
I specialize in helping investors, operators, and lenders navigate the complexities of senior housing finance through comprehensive underwriting, financial modeling, and strategic advisory services.
I hold an MBA from Duke University's Fuqua School of Business and bring deep expertise in FHA 232 programs, agency financing, and capital markets.
Latest Insights
Expert analysis and insights on senior housing and care finance.
Download Your Free 2026 Refinancing Playbook
9 strategies every senior housing operator should consider before refinancing
2026 Refinancing Playbook
9 Strategic Approaches to Navigate Senior Housing Debt
Inside the Playbook:
| Lender Type | LTC/LTV | Term |
|---|---|---|
| FHA 232 | Up to 90% | 35-40 years |
| Agency | Up to 80% | 10-30 years |
| Life Co. | 65-75% | 10-25 years |
- 9 Proven Refinancing Strategies for 2026
- Current Market Snapshot with rates & deal flow
- Cash-Out & Bridge Financing playbooks
- Expert Timing Guidance on when to act
Let's Talk About Your Financing Needs
Whether you're refinancing an existing property or exploring new opportunities, I'm here to help you navigate the process.
Email: justin@lebelladvisory.com
Phone: (801) 205-9901