Commercial mortgages for healthcare premises

How much deposit do you need for a commercial mortgage?

By Medical Centre Property Finance · · Reviewed 20 June 2026 · 5 min read

How much deposit do you need for a commercial mortgage?

The short version

  • Most commercial mortgages need a deposit of roughly 20 to 40 per cent of value, which is a loan to value of 60 to 80 per cent.
  • There is no single legal minimum. The figure is set by the lender, the sector and how reliable your income is.
  • A 10 per cent deposit is uncommon on standard terms, but extra security such as your home or another property can lift the loan toward 100 per cent of the purchase price.
  • Reliable healthcare income, such as NHS notional rent, supports a smaller deposit because it gives the lender confidence the loan will be repaid.

The deposit is usually the first number a buyer wants. This article explains the minimum deposit for a commercial mortgage in plain terms, why most healthcare cases land between 20 and 40 per cent, whether you can buy with a 10 per cent deposit, and how to fund the gap if you are short.

It sits under our hub on commercial mortgages for healthcare premises. Figures here are indicative and depend on your case and the lender.

What is the minimum deposit for a commercial mortgage?

There is no fixed legal minimum deposit for a commercial mortgage. Each lender sets its own maximum loan to value, and the deposit is simply the difference between that and the price. For owner-occupier healthcare cases the common range is a deposit of 20 to 40 per cent of the value, which corresponds to a loan to value of 60 to 80 per cent.

20 to 40%
Typical deposit, owner-occupier healthcare
Indicative, varies by lender
60 to 80%
Loan to value this implies
Indicative
No fixed floor
Statutory minimum deposit
Set by lender policy, not law

Where you land in that range depends on the strength of the business, the type of property and the reliability of the income. A surgery with NHS notional rent will usually need less deposit than a brand-new private clinic with no trading history. You can convert a deposit into a loan to value with our loan to value calculator.

There is no statutory minimum deposit. There is only the maximum a lender will advance against your income, and the deposit is whatever is left.

Can you buy commercial property with a 10 per cent deposit?

On standard terms, a 10 per cent deposit on a commercial mortgage is uncommon. Most lenders want more skin in the game because, unlike a home, a specialist commercial building can be slower and harder to sell if things go wrong.

It is not impossible to borrow more than 80 or 90 per cent of the price, but it usually requires extra security rather than a thinner cash deposit. If you offer a lender a second property, often your home, as additional security, the loan can in some cases reach close to 100 per cent of the purchase price. The cash you put in is small, but the lender is no less covered because it has a charge over two assets instead of one.

Why reliable income reduces the deposit

Deposit and income are linked. A lender accepts a smaller deposit when it is confident the loan will be repaid, and the clearest source of that confidence in healthcare is contracted income.

How income strength moves the deposit
Income profileEffect on depositWhy
NHS notional rent or long NHS contractToward the lower end, around 20 to 25 per centPredictable, government-backed income reassures the lender
Established private practice with steady accountsMid range, around 25 to 35 per centGood history, but income is not contracted
New or unproven tradingHigher end, 35 to 40 per cent or moreLittle track record, so the lender wants more cushion

This is why packaging matters. Presenting the income clearly, with the contracts behind it, can be the difference between a 25 and a 35 per cent deposit. See GP surgery finance for how NHS notional rent is treated.

Funding the deposit

If you do not have the full deposit in cash, there are recognised ways to bridge it, each with trade-offs.

  1. Equity in another property

    Releasing equity from a home or another commercial asset, often as additional security rather than cash.

  2. Partner or director contributions

    In a partnership or company, pooling contributions across the owners.

  3. Business savings or retained profit

    Using cash the business has built up, while keeping enough working capital.

  4. A vendor or staged arrangement

    Occasionally the seller leaves part of the price in, though lenders treat this carefully.

We work through which of these a lender will accept for your case. Model the resulting loan and payments with our commercial mortgage repayment calculator, and read more on the affordability test in how difficult it is to get a commercial mortgage.

Deposit is not the only number

It is easy to fixate on the deposit, but a lender cares as much about whether you can afford the payments. Even with a large deposit, a loan that profit does not comfortably cover will struggle. The affordability test is DSCR, the ratio of profit available for debt service to the cost of the loan, and most lenders want it comfortably above 1.25. Test yours with the DSCR calculator.

We are an arranger and introducer, not a lender. Most commercial mortgages are unregulated, but where a deposit is part-funded by security over your home that element is regulated and referred to an authorised firm.

FAQ

Frequently asked questions

What is the minimum deposit for a commercial mortgage?

There is no fixed legal minimum. In practice most owner-occupier healthcare cases need a deposit of roughly 20 to 40 per cent of value, which is a 60 to 80 per cent loan to value. The exact figure depends on the lender, the property and how reliable your income is.

Can you buy commercial property with a 10 per cent deposit?

On standard terms it is uncommon. Lenders usually want more deposit on commercial property. You can sometimes borrow close to 100 per cent of the price by offering extra security, such as your home, rather than putting in a thin cash deposit, but that brings risks we will explain first.

Does NHS income reduce the deposit I need?

It can. Predictable, contracted income such as NHS notional rent gives a lender confidence the loan will be repaid, which often supports a deposit toward the lower end of the range. See our healthcare mortgages hub.

Talk to us about funding

Tell us what you are buying, building or refinancing and we will come back with indicative terms. No obligation.