Capital One has been named the top lead arranger for healthcare leveraged loans up to $1 billion in size, according to Thomson Reuters. Going into 2016, some seniors housing customers are expressing anxiety about short-term growth, the company says.

With the recent acquisition of GE Capital’s Healthcare Financial Services lending business, which has held the top ranking on the list for the past three years, the newly combined Capital One Healthcare organization leads the industry with more than $11 billion in total outstanding balances. The team supports companies in three broad areas, including corporate finance, real estate finance and venture debt for life sciences companies, and together closed more than 200 transactions in 2015.

Capital One Healthcare is active across 45 healthcare sub-sectors — including long-term care, pharmaceuticals, medical devices, hospitals and outpatient services, healthcare information technology, medical properties and life sciences — financing acquisitions, recapitalizations, working capital needs and funding early-stage commercialization efforts.

“Throughout 2015 we saw sustained growth in the healthcare marketplace despite a dynamic environment,” Darren Alcus, president, Capital One Healthcare, said in a statement. “Entering 2016, we look forward to ample opportunities across the industry. We expect many high-profile consolidations and additional investments in technology as companies seek new ways to provide quality outcomes for consumers.”

James Seymour, senior managing director of Capital One Healthcare’s real estate financing team, said that 2015 may have been the beginning of a transition period for some healthcare real estate markets. “While long-term fundamentals are strong for seniors housing, some of our operator customers are expressing anxiety about short-term growth,” he said. “This is driven primarily by overbuilding in select markets, as well as mild labor cost pressure and uncertain macroeconomic conditions. We are poised to use our healthcare expertise and strong balance sheet to help our customers navigate these market conditions with capital to support their growth.”