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Project Meridian: Healthcare services unitranche

SAMPLE: fictional company, illustrative figures. Not a real borrower, deal or lender group.

Sponsor-backed, about $40m EBITDA, maintenance leverage covenant.

One deal, end to end

Documents arrive; agents run without anyone starting them; people decide at each gate. Each stage links to its use case.

1. SCREEN

In: CIM, teaser

Agents produce: Screen vs fund box; draft question list

Human gate: Go / no-go

Found: 6.6x vs a 5.5x limit at the $250m ask; screens in at about $210m.

Screen a CIM in minutes →

2. UNDERWRITE

In: QoE, sponsor model, draft agreement

Agents produce: EBITDA bridge, add-back caps, covenant and LME table

Human gate: IC approves terms

Found: CIM EBITDA $41.8m vs $40.0m in the QoE; the lender sizes on the QoE.

EBITDA add-back autopsy →

3. CLOSE

In: Term sheet, final agreement

Agents produce: Term sheet vs agreement diff; covenants loaded to monitoring

Human gate: Counsel signs off

Covenants out of the agreement →

4. MONITOR

In: Monthly packs, compliance cert, agent notices

Agents produce: Headroom row, notice breaks, waiver triage, early-warning brief

Human gate: PM approves watchlist moves

Found: Certificate 5.12x, recomputed 5.29x; a first-time $0.6m add-back flagged.

Spread quarterly packs into one model →

5. REPORT

In: Monitoring history

Agents produce: Portfolio KPI table, LP and valuation inputs

Human gate: IR / CFO sign-off

ILPA template and DDQ drafts →

TODAY
  1. Each team re-reads and re-keys the same documentsDeal team → counsel → portfolio team → ops
  2. Hand-offs by email and spreadsheetContext lost at closing
AUTOMATED
  1. Documents land in the doc storeTrigger
  2. Shared extraction feeds every stageAutomated
  3. Stage outputs draftedAI draft, human review
  4. Gate decisions loggedHuman only

Supporting documents (SAMPLE inputs)

Term sheet
Term sheet (SAMPLE excerpt)
TermSAMPLE term sheet
BorrowerProject Meridian (fictional), sponsor-backed outpatient therapy and clinic platform, US
Facilities$210.0m unitranche term loan; $40.0m delayed-draw term loan (24 months, 1.00% ticking fee on undrawn); $25.0m revolver
Closing leverage5.25x total on $40.0m Closing Date EBITDA
PricingTerm SOFR + 5.00%, 0.75% floor; steps to +4.75% below 4.75x and +4.50% below 4.25x
OID / call protection99.0; soft call 102 / 101 in years 1 and 2
Amortization1.00% per year, quarterly; excess cash flow sweep 50%, stepping down with leverage
Financial covenantMaximum Total Net Leverage 7.00x through Q4 2026, 6.75x in 2027, 6.50x thereafter; tested quarterly; unrestricted cash netting capped at $10.0m
EBITDA add-backsRun-rate cost savings and synergies capped at 20% of EBITDA (before the add-back), realised within 18 months; non-recurring items capped at 10%
Equity cure2 in any 4 consecutive quarters, 5 over the life; cure amount not counted for baskets
LME protectionsNo transfer of material IP to unrestricted subsidiaries; subordination of liens or payment needs each affected lender; guarantor released only if it ceases to be a subsidiary in a bona fide sale to a third party
AmendmentsRequired Lenders (>50%) generally; each affected lender for pricing, maturity, pro rata sharing and subordination
CIM excerpt
CIM excerpt (SAMPLE excerpt)

“Meridian operates 142 outpatient clinics across 6 states with 78% commercial payer mix. Management Adjusted EBITDA of $41.8m reflects full run-rate contribution from 2025 de novo openings and identified procurement savings…”

CIM, Executive Summary p. 4 (SAMPLE). Note the CIM figure ($41.8m) is above the QoE figure ($40.0m): the lender sizes on the QoE.

QoE add-back schedule
QoE add-back schedule (SAMPLE excerpt)
QoE item (LTM Dec 2025)$m
Reported EBITDA33.6
Sponsor monitoring fee1.2
De novo clinic losses (6 clinics opened in 2025)2.1
Pro forma acquired clinics (pre-close months)1.5
Run-rate cost synergies (billing centralisation, procurement)1.4
One-time integration and legal0.6
QoE: normalise payer rate true-up-0.4
Closing Date EBITDA (QoE)40.0
Quarterly compliance certificate
Quarterly compliance certificate (SAMPLE excerpt)
Compliance certificate, Q2 2026 (LTM Jun 2026)$m
Reported EBITDA34.1
Non-recurring items3.9
Run-rate cost savings4.6
De novo clinic losses2.3
Sponsor monitoring fee1.2
Consolidated EBITDA46.1
Term loan + DDTL + revolver drawn245.9
Less unrestricted cash (capped at 10.0)-9.8
Total Net Leverage (covenant 7.00x)5.12x
Monthly financials
Monthly financials (SAMPLE excerpt)
Monthly pack, reported EBITDA $mQ3 25Q4 25Q1 26Q2 26LTM
Sum of monthly P and L8.68.58.27.933.2
Days sales outstanding48505357
Visits per clinic per day31.231.030.129.4

Market context for the SAMPLE terms

Next step

Not investment advice. Fictional company; any resemblance to a real business is unintended.