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Ardent Capital GroupArdent Capital Group
Day surgery and day hospital property refinance Australia
Excellent★★★★★

Refinance your day surgery property loan

Refinancing a day surgery on what it is worth now

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$2B+funded1,000+clients60+lenders

Looking to refinance your day surgery?

Day surgeries are usually funded once and then built up: more sessions, more specialists, sometimes another theatre. A refinance looks at the property as it stands today and at the trading the facility now supports.

We can help you:

  • Refinance the licensed day-hospital premises your syndicate owns
  • Borrow 60% to 70% of the current value as an owner-occupier on a specialised-use valuation, and up to 80% from a healthcare lender for an established operator
  • Rebuild the guarantee schedule against the unit register as it stands today
  • Release equity to fund a departing member out of the building
  • Re-document a lease that has been holding over at an outdated rent
  • Keep the theatre equipment on its own lines and off the property security
  • Fund a theatre or recovery extension around the licence variation timeline
  • Refinance ahead of a term expiry or a scheduled annual review
  • Refinance day-hospital premises held in a self-managed super fund
  • Model the break costs, valuation and legals before you commit to moving

Who we help:

  • Established business owners who require finance between $50K to $30M
  • Owners refinancing for the first time since settlement, who want each step set out plainly
  • Time-sensitive refinances working to a term expiry, an annual review or the end of a fixed period
  • Self-employed and trust-structured borrowers whose trading history since settlement is now the evidence
  • Day surgery owners whose facility has grown since it was first funded
  • Owners whose next theatre is a property question before it is a clinical one
Nick Chong, commercial mortgage brokerKevin, commercial mortgage brokerHolly, commercial mortgage broker

Speak to a specialist today

1,000+

loans settled

$2B+

funded

Day surgery refinance

Refinancing licensed day-hospital premises

We work with surgical syndicates, day-hospital operators and the property entities that hold the buildings, reviewing the finance behind premises they already own. That covers a facility reaching its expiry, a unit register that has moved well past the guarantees on the loan, a member who is leaving and has to be funded out, a lease that has quietly been holding over, and a theatre extension waiting on a licence variation. We order the valuation, work through the deed, run the comparison and stay with it through to drawdown.

Funding from $50K to $30M
from over 60 bank & non-bank lenders

  • ANZ
  • Bankwest
  • Bluestone
  • Bank of Queensland
  • Commonwealth Bank
  • Firstmac
  • ING
  • Macquarie
  • NAB
  • Pepper Money
  • Suncorp Bank
  • Thinktank

Day surgery and day hospital refinance specialists

Day-hospital refinancing is a specialist area we can assist with, usually for syndicates whose membership has changed since the property loan was written. The day-hospital refinances we can arrange include:

  • Licensed day hospitals refinanced with the guarantees rebuilt to the current register
  • Syndicate premises where a member is being funded out of the building
  • Standalone theatre and endoscopy suites revalued on a current specialised-use basis
  • Buildings held by a property entity and leased to the operating company
  • Day-hospital premises held under a limited recourse borrowing arrangement

A day surgery is assessed on a current valuation and on the trading the facility supports. Growth in sessions and in the specialists using it since the original funding generally strengthens the servicing position you are able to present.

Day surgery and day hospital refinance in Australia

Why businesses choose Ardent Capital Group as their broker

Execution and strategy

Strategy first, then execution. We structure your deal properly and take it to the right lenders for your situation, so you are not enquiring lender by lender.

Clear advice for smart lending

Straight answers on LVR, structure and timing, including when a deal does not stack up.

A long-term partner

We stay with you well beyond settlement, with lasting relationships and ongoing support from the team.

Refinance types

Day surgery refinance scenarios we can help finance

A day surgery refinance is usually shaped by the current valuation, the session income behind it, and whether another theatre is being planned.

Aligning the unit register and guarantees

The loan was underwritten against the syndicate as it stood the day it settled, with each surgeon and anaesthetist giving a guarantee. Since then somebody has retired, a fellow has bought units and another has cut back, while the guarantee schedule names the original syndicate. We can help you:

  • Review the original facility, underwritten against the members who were in it that day
  • Follow the retirements, buy-ins and sell-downs that move the register but not the loan documents
  • Rebuild the guarantee schedule against the unit register as it stands now
  • Present the buy-sell and exit terms your solicitor has settled, against what a lender will accept
  • Test whether the loan services if a member leaves, on current numbers, as credit does
  • Compare across more than 40 lenders on structure and term, not on rate alone

Funding a member's exit

When a surgeon leaves, the remaining members buy their units, an incoming fellow buys them, or the entity redeems them, on a date the deed has usually fixed. The building is normally the only asset in the structure with real equity in it. We can help you:

  • Release equity from the premises to fund a departing member out of the building
  • Evidence the deed mechanism up front, because cash out is assessed on the purpose of funds
  • Price the redemption off a fresh valuation, not off the original purchase price
  • Fund an incoming member against their own share alone
  • Leave existing members and their own arrangements untouched where a buy-in is separate
  • Time the release to the date the deed fixes for the exit, not to the calendar

How a day hospital is valued

Theatres, a CSSD, clean-air HVAC, recovery bays and backup power are single-use improvements requiring a state day-procedure or private-hospital licence. An owner-occupier file funds 60% to 70% of the discounted figure, and a building leased to the operator sits 5% to 15% below that. We can help you:

  • Borrow 60% to 70% of the current value as an owner-occupier on a specialised-use basis
  • Expect a building leased to the operating entity to sit a further 5% to 15% below that
  • Expect theatres, CSSD, clean-air HVAC and backup power to be discounted as single-use works
  • Size a release on the market and the amortisation, not on the fit-out you funded
  • Brief the valuer on the current licence, accreditation and lists before the inspection
  • Reach up to 80% as an established operator with a healthcare lender that reads the trade

Re-documenting the operator lease

The property entity leases the premises to the operating company, and that lease was written to a term at settlement. By a refinance it has often run out and held over month to month, at a rent set against a market several years old. We can help you:

  • Present the lease to the operating company as the income an investment lender relies on
  • Replace a holding-over lease at an outdated rent, which weakens the application
  • Write the lease to a current term at market rent before the application goes in
  • Support the rent with an independent appraisal, not the figure set at settlement
  • Expect the lease term to shape the loan term a lender will write on an investment file
  • Set the lease expiry against the facility term so the two do not fall due together

SMSF day surgery premises refinance

Refinancing day surgery premises held in a self-managed super fund is something we can assist with. Inside a fund the refinance is limited to the existing balance, so the equity release described above is not available. Our SMSF medical and health premises page covers how a fund buys practice premises and what changes from one practice type to the next. We can help you:

  • Move the existing balance to a new lender without increasing it
  • Size the refinance to the balance outstanding, with no top up, cash out or redraw
  • Reassign the holding trust to the incoming lender on the same single property
  • Plan on the basis that the equity release above does not apply inside a fund
  • Fund the deposit from the fund itself, since cross-collateralisation is not available in super
  • Work alongside your accountant, financial adviser and solicitor

Which items sit on the property loan

Clean-air HVAC, medical gas and backup power are fixed building services and belong on the property loan. Theatre tables, lights, scopes and anaesthetic machines are moveable and belong on their own term. Sterilising and CSSD plant sits between the two and is argued either way. We can help you:

  • Map every facility you hold, from the property loan down to the claim cycle line
  • Keep clean-air HVAC, medical gas and backup power on the property facility
  • Fund theatre tables, lights, scopes and anaesthetic machines on their own terms
  • Place sterilising and CSSD plant either way, depending on how it was installed
  • Size the working capital to the private-health claim cycle, not the average month
  • Find out where consolidating does not help, rather than moving it by default

Adding theatre capacity

A state licence covers a defined number of operating theatres and procedure rooms and the class of procedures approved in them. Where growth calls for another address we arrange the purchase of day-surgery or day-hospital premises alongside the refinance. We can help you:

  • Read the state licence, which covers a defined theatre count and class of procedures
  • Update the licence and have the new works accredited before adding a theatre
  • Fund the works on progress draws released against certified builder invoices
  • Structure the servicing to carry the gap between completion and the first list
  • Release equity here for the works and keep the theatre equipment on its own line
  • Sequence the release, the build and the licensing so nothing waits on the others

Our complete list of services

  • Day surgery and day hospital property refinancing
  • Licensed day-hospital premises refinance
  • Syndicate and unit trust guarantee restructures
  • Equity release to fund a member out of the building
  • Partnership and syndicate buy-in finance
  • Buildings leased to a day-hospital operating entity
  • SMSF day-hospital premises refinance
  • Theatre and recovery extension fit-out finance
  • Progress-draw facilities for a theatre build
  • Theatre, anaesthetic and sterilising equipment finance
  • Interest only and principal and interest restructures
  • Refinancing ahead of a term expiry
  • Portfolio refinancing across multiple day-hospital sites
  • Second site acquisition finance
  • Commercial overdrafts and working capital
  • Debt consolidation across property and equipment lines
  • Fund the business behind the property with day surgery business loans

Our process

How it works

1

We understand your scenario

We talk through the property, your business and timeline, and any complexity in your structure.

2

We find the right lender

We match your deal to the lender on our panel best suited to it.

3

You receive clear terms and guidance

We present indicative terms and explain what we recommend, and why.

4

We stay with you beyond settlement

We manage everything through to settlement, then stay in your corner well beyond it, with ongoing support from the team.

Lender features compared

How day-hospital refinances compare across lenders

Day-hospital refinance feature Major banks Non-bank lenders Availability
Maximum LVR, owner-occupierUp to 65%, or up to 80% through a specialist health divisionUp to 70% on a specialised-use valuationStandard
Maximum LVR, leased to the operating entityAssessed case by caseA further 5% to 15% below owner-occupierCommon
Valuation basisSpecialised-use, stepped downSpecialised-use, stepped down
Syndicate with a changed member registerFull re-documentation expectedAssessed case by caseCritical
Equity release to fund a member outCase by case on purpose of fundsConsidered against a fresh valuationCommon
Theatre and anaesthetic equipmentFinanced separately from the propertyChattel or equipment financeStandard
SMSF refinanceWithdrawn from SMSF lendingAvailable, generally 65% to 75%
Loan termUp to 25 yearsUp to 20 yearsFlexible
Best suited forAccredited hospitals with a stable register and clean financialsChanged syndicates, leased buildings and files a bank has passed on

*IMPORTANT: These are indicative figures only. Terms, LVRs and approval timeframes vary with borrower capacity, security type and individual lender criteria, and are subject to change. Figures are a general guide, not a quote or an offer of finance, and not a representation that finance is available on these terms.

Frequently asked questions

Why work with Ardent Capital Group on your finance?

Ardent Capital Group brings the same method to every client: execution and strategy, clear advice for smart lending, and long-term growth. That means the right lender, structure and timing, straight advice so you borrow with confidence, and today's deal built toward where you want to be tomorrow. On a day-hospital refinance most of the work sits in the ownership rather than the building. The register has usually moved since settlement, the guarantees have not, and the lease to the operating company is often holding over. We put those back in line before a credit team sees the file, and we stay with it past drawdown. Every figure is subject to serviceability, lender appetite and approval.

How much finance can you help me access?

We refinance commercial facilities from $50K up to $30M on the property side, with the theatre and anaesthetic equipment funded separately alongside it. The new property limit follows a fresh specialised-use valuation and current servicing, not what the syndicate originally borrowed.

Why use a broker for a day-hospital refinance rather than going direct to my current bank?

Because a licensed day hospital owned by a syndicate is two problems at once, and most institutions are only comfortable with one. We run the comparison across more than 40 lenders, work out which read a specialised-use valuation properly and which will take a multi-owner borrower without asking every member to start again, and present to one at a time so your credit file does not collect an enquiry for every conversation. We also model the break costs, valuation and legals against what moving actually gains you.

What LVR can I get when I refinance day-hospital premises?

Around 60% to 70% of the current value as an owner-occupier, on a specialised-use valuation, and up to 80% from a healthcare lender where the operator is established. Where a property entity holds the building and leases it to the operating company, expect a further 5% to 15% below that. Theatre equipment is funded separately and does not form part of the figure.

Our syndicate has changed since we bought. Does that matter?

It matters at the refinance rather than day to day, and it is the most common reason these files take longer than the owners expect. The facility was underwritten against the members who were in the syndicate at settlement, and their guarantees are what the lender holds. Once people have retired, sold down or bought in, the guarantee schedule and the unit register no longer describe the same group. We reconcile the deed, the register and the guarantees before the application goes in, so credit assesses one consistent structure.

Can we release equity to fund a member out of the building?

Usually yes, and it is one of the main reasons a syndicate refinances. The building is normally the only asset in the structure carrying real equity, and a release against a fresh valuation can fund the redemption or the remaining members buying the units. Cash out is assessed on the purpose of the funds, so we evidence the deed mechanism, the valuation and the position of the members who remain. Where an incoming fellow is buying in instead, that can be funded against their own share without the existing members re-documenting theirs.

Why does a day hospital value below what the theatres cost to build?

Because the improvements that make it work are single-use. Operating theatres, a CSSD, clean-air HVAC, recovery bays and backup power suit a licensed day-hospital operator and very few other occupiers, and another buyer could not use them without a state licence of their own. A valuer assesses the premises on a specialised-use basis and discounts those works against cost. That is why the gearing sits below an ordinary consulting suite, and why the equity at a refinance comes from the market and the amortisation rather than from the fit-out.

Our lease to the operating company is holding over. Is that a problem?

Fix it before you apply. Where a property entity holds the building and leases it to the operating company, that lease is the income the lender is relying on, and a document that expired and simply continued at a rent set years ago weakens a file the trading figures would otherwise carry. Re-documenting to a current term at market rent, supported by an independent appraisal, is usually the cheapest improvement available to an owner in this position.

Does the state licence or NSQHS accreditation affect the refinance?

Both do, and they sit with the operating entity rather than with the title. A day hospital cannot trade without a state day-procedure or private-hospital licence and, in most cases, accreditation against the National Safety and Quality Health Service standards, and the income a lender is assessing depends entirely on them. The difference from a purchase is that they are held rather than pending, which is a genuinely stronger position. We evidence the current licence and the accreditation status early, and where a reassessment falls near settlement we plan the timing around it.

Can we add a theatre without touching the property loan?

The equipment side, yes. The room, usually not, because theatres, clean-air services and recovery capacity are fixed works on the building and are funded on the property side, often through progress draws against certified builder invoices. The approval is what sets the timing: a state licence covers a defined theatre count and class of procedures, so adding one generally needs the licence varied and the works accredited before any list can be booked into it. We structure the servicing to carry that gap.

Can we refinance day-hospital premises held in our SMSF?

Yes, it is possible, and we arrange these. It is also one of the more intricate refinances in commercial finance, and the detail is what decides whether it works. From 10 August 2026 a new arrangement can only be used for business real property, and a licensed, trading day hospital qualifies. It has to stay the same single property, and it is limited to the balance outstanding plus accrued interest, so there is no top up, no redraw and no cash out inside the fund. That also means a member cannot be funded out of the building this way. Borrowed money cannot fund an improvement either, so a second theatre comes from the resources of the fund. The holding trust is reassigned to the incoming lender rather than dissolved, which carries a legal cost worth weighing against the gain. Your operating entity leases the premises back in writing, at market rent supported by an independent appraisal, and the rent has to actually be paid. The state licence and the accreditation sit with that operating entity, not with the property. Cross-collateralisation is not available inside super. Fund the deposit from the fund itself, since cross-collateralisation is not available in super, the major banks have exited SMSF lending, and lenders want a liquidity buffer left in the fund after settlement. We know this sounds complicated, and we can assist to make things clearer. Reach out to our team and we will guide you through the entire process. We structure the finance, tell you which lenders will take a day hospital as SMSF security and on what terms, and bring in the SMSF specialists and licensed advisers who set the fund side up. You will not be working it out on your own.

My bank has said no to a top up. Is that the end of it?

Often not. On a day hospital a decline usually traces to one of two things: a lender applying a standard commercial framework to a specialised-use asset, or a credit team that will not take a multi-owner borrower whose register has moved. Both are questions of which lender the file sits with rather than whether the hospital is fundable. We look at how it was assessed and why the answer was no, then place it where that reason is not the deciding one.

How long does a day-hospital refinance take?

Around four to eight weeks with a major bank and three to five weeks with a non-bank lender. A specialised-use valuation takes longer to commission than a standard commercial one, and a syndicate file takes longer again because each guarantor is assessed. SMSF refinances are longer still. We give you a realistic timeline at the start so you can plan the expiry date around it.

What documents will you need?

The existing loan statements for the property and every equipment line, two to three years of financial statements and tax returns for the operating entity, the current day-hospital licence and accreditation, the unit trust deed or constitution with the current register, the lease between the property and operating entities, and personal tax returns and notices of assessment for each guarantor. Where members bill through service entities, alt-doc options let that income be evidenced through an accountant's declaration, BAS or bank statements.

What will refinancing cost me, and how do I know it is worth it?

The costs are a valuation, legal and settlement fees, any lender establishment fee, discharge costs from each current lender, and break costs where you are leaving a fixed rate. Where the guarantee structure is being rebuilt there is further legal work on the deed side. We put the real numbers against the benefit before you commit to anything.

Do you charge fees for your day-hospital refinance service?

Most of the time, no. Where the ownership is a complex syndicate or the licensing needs careful presentation, a small mandate fee may apply, and we will always be upfront about this before any work begins.

What areas do you service?

Although we are based in Sydney, we service clients across all major Australian cities, including Melbourne, Perth, Brisbane, the Gold Coast, Adelaide, Canberra and Hobart, along with their surrounding regional areas. Wherever your day hospital is located, we can arrange your finance.

What other finance can you assist with?

Beyond refinancing the premises, we also assist with asset finance and working capital. On asset finance, that covers theatre tables and lights, anaesthetic machines, scopes, sterilising and CSSD plant and backup power. On working capital, we arrange business overdrafts, lines of credit and cash-flow funding to carry consumables, prostheses and wages against the private-health claim cycle, and we can fold these into the refinance where it makes sense.

We have owned the hospital for years but have never refinanced it. Are you beginner friendly?

Yes, and it describes most syndicates we speak to. The facility is set at settlement and then simply runs, while everything since has been about lists, equipment and staffing. That is our core ethos, helping you understand the right strategy, structure and clear advice from the very first conversation. Our main borrower profiles are established business owners and commercial property investors with facilities from $50,000 upwards. We will start by reconciling the register against the guarantees, telling you what the premises are likely to value at now, what moving costs, and whether it is worth making. If it is not, we will say so and you can stay where you are.

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