
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.
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Effective post-transaction Monitor of a 7-hospital system
Following HCA’s $1.5B acquisition of Mission Health in 2019, Gibbins Advisors was appointed the Independent Monitor. In the role we evaluated HCA's compliance with its purchase commitments—like capital investment, services and charity care— equipping the enforcement parties with robust information necessary to take action.
Crisis management and opportunity sizing for 43-hospital system
As Brookfield’s newly acquired hospital system confronted COVID-19, Gibbins Advisors led crisis management and and established a system-wide execution framework—aligning leadership and unlocking transformation across 43 hospitals during a time of immense disruption.
Advised the UCC in one of Puerto Rico's largest commercial bankruptcies
Representing the Unsecured Creditors Committee in a major Puerto Rico hospital system bankruptcy, Gibbins Advisors fought to preserve value in the face of overwhelming secured debt and operational turmoil. Through strategic negotiations, we achieved full payment of administrative expenses and delivered meaningful recoveries for unsecured creditors.