Experience in Action

Gibbins Advisors is a dedicated partner to middle-market healthcare organizations navigating some of the most complex and critical challenges they'll face.

This curated selection of case studies illustrates the breadth and depth of our experience supporting clients at critical inflection points.

We work alongside leadership, boards, trustees, investors, lenders, creditors, and legal advisors to address urgent issues—often when organizations are under significant financial, operational, or strategic pressure.

While every engagement is unique, our approach remains consistent: hands-on, outcomes-focused, and grounded in skill, care, and a commitment to delivering meaningful value.

Community Hospital, See all Andrew Lieu Community Hospital, See all Andrew Lieu

Supported 100% recovery to the hospital's secured lender

Facing a potentially material loss from a proposed sale, Bellevue Hospital’s sole bondholder turned to Gibbins Advisors. We successfully advocated for a robust marketing and transaction process and scrutinized financing requirements to effectively manage liquidity. The result far exceeded initial expectations: ~100% bondholder recovery, ~100% return to unsecured creditors, a material CapEx commitment from the buyer and a sustainable model for the hospital moving forward.

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Community Hospital, See all Andrew Lieu Community Hospital, See all Andrew Lieu

Secured a sustainable future for a critical regional hospital

When the hospital faced imminent closure, Ronald Winters stepped in as Chief Restructuring Officer and led a high-stakes turnaround. In just six months, a robust Chapter 11 sale process secured a major regional health system as the buyer—ensuring no disruption to patient care. A complex ER physician group claim was resolved, and strategic negotiations delivered a meaningful payout to creditors while preserving most jobs.

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Community Hospital, See all Andrew Lieu Community Hospital, See all Andrew Lieu

Strategic decision support: Operate or lease?

As the lease for Desert Regional Medical Center neared expiration, the Hospital District (landlord) was debating whether to assume control of hospital operations or negotiate a lease renewal. We laid out the significant financial and operational risks to enable an informed decison. The community voted to renew the lease—preserving stability, optimizing value and avoiding major disruption.

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Community Hospital, See all Andrew Lieu Community Hospital, See all Andrew Lieu

Merger and synergy planning for distressed safety net hospitals

Two mission-driven hospital systems serving a disadvantaged community were struggling with material financial losses and decided to explore a merger. Gibbins Advisors conducted a rapid synergy and opportunity assessment, delivering a robust fact base and stakeholder-aligned roadmap to guide ongoing partnership discussions and strategic transformation.

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Community Hospital, See all Andrew Lieu Community Hospital, See all Andrew Lieu

Appointed Receiver to wind down the hospital and realize assets

Gibbins Advisors was appointed Receiver after Community Memorial Hospital closed due to financial distress. We led the controlled liquidation of assets, managed creditor negotiations, and ensured compliance with regulatory requirements, including patient record retention. Our strategic and hands-on approach helped maximize recoveries and provide clarity in a complex healthcare receivership.

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