Healthcare Real Estate

Healthcare & Senior Care

Behind every healthcare acquisition, refinance and portfolio sale is a closing with more moving parts than most. Multiple entities, HUD requirements, lease structures and lenders all need to line up at the closing table. Paramount brings the title expertise, lender coordination and attention to detail these transactions demand, so your deal closes on schedule.

Paramount's senior title professionals bring deep, hands-on experience in healthcare real estate, with closings that range from skilled nursing and assisted living to behavioral health facilities across multiple states. The team works alongside HUD lenders and their counsel and is experienced in meeting HUD's title, survey and closing requirements.

Property Types

Skilled nursing facilities (SNFs)
Assisted living & memory care
Independent living & CCRCs
Behavioral health & treatment centers
Medical office & outpatient

Transactions

HUD Section 232: 223(f), 223(a)(7) & 241(a)
HUD/ORCF title and survey requirements, pro forma policies & endorsement packages
Bridge-to-HUD loans
PropCo / OpCo transactions
Sale-leasebacks & master leases
Multi-facility, multi-state portfolios

The Paramount Difference

CHOW / OTA escrows and holdbacks
Operator UCC, tax lien, judgment, litigation & bankruptcy searches
Portfolio tie-in & aggregation (ALTA 12) endorsements, where available
ALTA 3.1, 8.2, 9-series, 15, 17, 18, 19, 22, 25, 28 & 39 endorsements, or the state-promulgated equivalent
Leasehold policies & endorsements (ALTA 13 & 13.1)

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Caregiver with residents at a senior care community