Returns & Covenant — UNIVERSITY HOSPITAL AT SYRACUSE
IRR: 16.1% | MOIC: 2.11x | Covenant cushion: 21%
🛡️ Public data only — no PHI permitted on this instance.
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16.1%
IRR
2.11x
MOIC
$300M
Entry Equity
$633M
Exit Proceeds
$633M
Total Distributions
5.0yr
Hold Period
Returns Assessment
Marginal — in the 15-20% range, needs operational upside. At 16.1% IRR and 2.11x MOIC over 5 years, every $1 invested returns $2.11.
Entry equity of $300M grows to $633M in total distributions — a $333M gain.
Covenant Headroom
How much EBITDA can compress before the leverage covenant trips?
5.5x
Actual Leverage
7.0x
Covenant Max
1.5x
Headroom (turns)
21%
EBITDA Cushion
$52M
Covenant Trips at
2.8x
Interest Coverage
Plain English: EBITDA can decline 21% (from $67M to $52M) before the 7.0x leverage covenant trips. This is tight — stress test carefully.