May 02, 2023

HC Finance - Post Interview SNF Refi Case Study

I had an interview recently with a large commercial bank for an underwriting position in the healthcare finance team. I have 3 years experience as an FP&A analyst at another commercial bank and was offered the opportunity to interview for this underwriting position. They were well aware of my limited experience in credit analysis given my current role doing internal strategy. I did well on the interview, but to really guarantee I'm a good fit for the job they gave me an underwriting case study. The ask is for a $50MM Real Estate Term Loan to refi existing debt to the landlord and format the loan structure as well as calculate key credit metrics. The existing debt is a $45MM bridge loan.

I'm a bit confused now. I was given 2 fiscal years of operating results and all 5 SNF's are operating at a loss due almost entirely to rent expense. Was this a trick question? Why would a bank lend to a borrower operating at a loss? I really doubt they are giving me a trick question and I believe the answer lies somewhere with the fact that the debt is to the landlord. EBITDAR is positive, but once rent is factored in EBITDA is negative. Am I missing something here? I was encouraged to ask any questions I may have, but I don't want to appear entirely unqualified if the answer is obvious. Any help or insight would be greatly appreciated!

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