Lending to healthcare companies comes with unique challenges — from complex reimbursement cycles to billing variability. At West Fork, we specialize in healthcare ABL field exam services designed to help banks, asset-based lenders, investment banks, and specialty finance companies assess risk and make informed credit decisions.

With deep expertise in healthcare receivables and operations, our field examiners provide detailed insight into your borrower’s financial health, internal controls, and collateral strength. Whether you’re underwriting a new loan or conducting a recurring exam, we deliver the clarity you need to move forward with confidence.

What We Provide

Preloan Examinations. An asset-based collateral and financial evaluation of a prospective borrower performed on behalf of a bank or specialty finance company.  The ABL examination focuses on determining borrowing base availability (typically based upon accounts receivable) and provides a comprehensive analysis of the bank’s proposed collateral for prospective clients. Using our decades of healthcare underwriting and ABL field exam experience, our team analyzes financial data, assesses risk, identifies collateral impairments, analyzes trends, and recommends mitigants to credit related concerns so our clients can make well informed credit decisions.

Recurring Examinations. An asset-based collateral and financial evaluation of a current borrower of a bank or specialty finance company. The ABL examination focuses on recalculating and confirming borrowing base availability, analyzing financial data, assessing risk, identifying collateral impairments, analyzing trends, and recommending mitigants to credit related concerns so our clients can protect their investment.

Quality of Earnings Analyses. An analysis typically provided for buyers, sellers and lenders involved in an M&A transaction. It’s an evaluation of a target company’s historical financial performance (revenue, gross profit & EBITDA) with a focus on determining the reasonableness of reported EBITDA followed by a pro forma EBITDA adjustments for the period under review. This analysis provides the interested party with insight into the risks and opportunities associated with the target business under review.

Who We review

Our healthcare experience encompasses near all types of companies, including:

  • Urgent Care Centers

  • Outpatient Therapy Groups

  • Laboratories & Diagnostics Companies

  • Hospitals

  • Long-Term Acute Care (LTAC)

  • Home Health & Hospice Providers

  • Skilled Nursing Facilities (SNFs)

  • Medical Billing & Revenue Cycle Management Firms

  • Durable Medical Equipment (DME) Suppliers

  • Behavioral Health Clinics

These organizations often have complex risks, such as Medicare withholds, change of ownership transitions, charge-master changes, and net vs. gross billing variability That’s where West Fork provides real value — helping you understand the risk of the deal while providing underwriting recommendations.

Why lenders choose west fork for field exams

  • Industry-Specific Expertise: Our examiners understand the nuances of healthcare receivables, cash flow timing, and billing cycles — and we speak the same language your borrowers do.

  • Healthcare Underwriting Experience: We go beyond identifying risk — we provide proven ways to mitigate the risks so you can close more deals.

  • Lender-Focused Approach: We’ve worked with dozens of asset-based lenders, specialty finance companies, and international banks, delivering timely, accurate, and actionable exams.

  • National Coverage, Flexible Turnaround: West Fork serves clients nationwide with rapid deployment and efficient exam cycles that respect deal timelines.

Want to Learn More?

Reach out today to discuss how West Fork can help you make informed credit decisions.