Facility will be used to refinance three medical office buildings on the East Coast

NEW YORK — March 10, 2026 — First Citizens Bank today announced that its Healthcare Finance business has provided a $128 million facility to an affiliate of Rethink Healthcare Real Estate to refinance medical outpatient buildings in New York, Pennsylvania, and Rhode Island.

The properties include a 7-story, LEED Platinum-certified medical building in Buffalo, New York, featuring on-campus ambulatory and multi-specialty care; a 2-story, LEED Gold-certified medical outpatient building in West Grove, Pennsylvania, featuring a range of adult and pediatric specialist; and a 2-story, LEED Gold-certified on-campus medical outpatient building in Warwick, Rhode Island, featuring an advanced outpatient surgical center.

“This transaction illustrates our continued strategy of investing in institutional-quality outpatient medical facilities that are strategic to best-in-class healthcare provider’s care continuums," said John Winer, President and CIO of Rethink Healthcare Real Estate. "We value First Citizens' deep industry expertise and its ability to deliver seamless financing solutions that help strengthen our healthcare real estate portfolio."

"Rethink Healthcare is a long-standing client of First Citizens, and we’re proud to support their commitment to investing in premier healthcare real estate," said Steven Reedy, Managing Director and Head of Medical Office Banking at First Citizens Healthcare Finance. “This latest financing is a testament to our relationship-driven approach and our commitment to providing our clients with the industry expertise and financial solutions they need to achieve their long-term goals.”

First Citizens Healthcare Finance provides comprehensive financing and banking solutions to middle-market healthcare companies across the U.S. Using a client-focused, industry-centric model, the group tailors its products and services to help clients secure growth capital.

About First Citizens Bank
First Citizens Bank helps personal, business, commercial and wealth clients build financial strength that lasts. Headquartered in Raleigh, N.C., First Citizens has built a unique legacy of strength, stability and long-term thinking that has spanned generations. First Citizens offers an array of general banking services including a network of branches and offices nationwide; commercial banking expertise delivering best-in-class lending, leasing and other financial services coast to coast; innovation banking serving businesses at every stage; and a nationwide direct bank. Parent company First Citizens BancShares, Inc. (NASDAQ: FCNCA) is a top 20 U.S. financial institution with more than $200 billion in assets and a member of the Fortune 500™. Discover more at firstcitizens.com.

About Rethink Healthcare Real Estate and Rethink Capital Partners
Rethink Capital Partners, LLC is an investment management firm specializing in healthcare real estate and social impact venture capital. Rethink Healthcare Real Estate, an affiliate, focuses on investments in the medical outpatient property sector. The firm acquires existing properties, joint ventures with established developers to build new properties, and asset and property manages medical office buildings, outpatient facilities and similar healthcare real estate assets. Rethink made its first healthcare real estate investment in 1989 and today has a significant portfolio of institutional quality, strategic medical outpatient facilities located throughout the United States. For more information, please visit rethink-capital.com.

MEDIA RELATIONS:
Name: Katie Ellis
Email: katie.ellis@firstcitizens.com