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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See all, Clinics/Physician Practices Andrew Lieu See all, Clinics/Physician Practices Andrew Lieu

Delivered a successful out-of-court wind down of physician practices

Physician-owned pain management practice based in Tennessee with over 60 clinics across multiple states. Gibbins Advisors professionals* appointed Chief Restructuring Officer to evaluate the business and ultimately deliver an orderly, out of court wind down.

*Role performed by four GA professionals while working for another firm

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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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Senior Care, See all Andrew Lieu Senior Care, See all Andrew Lieu

Award-winning SNF reorganization and turnaround

Facing a liquidity crisis due to unpaid state fees, Gibbins Advisors crafted a Chapter 11 (Subchapter V) plan that preserved jobs, kept the skilled nursing facility open, and drastically reduced debt service—ensuring financial stability and enabling owners to retain their equity stake. This successful reorganization, delivered in just 6 months, won M&A Advisor's Turnaround of the Year Award 2025.

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See all, Population Health Andrew Lieu See all, Population Health Andrew Lieu

Contingency planning for home-based health provider

A new, transformational care delivery model was getting market traction but needed to restructure legacy debt to raise more capital. Failure to raise capital would result in business closure. Gibbins Advisors was engaged to develop an orderly wind down plan and support shareholder negotiations. A great result - the wind down plan was not needed and the restructuring / capital raise was successfully executed.

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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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Senior Care, See all Andrew Lieu Senior Care, See all Andrew Lieu

Senior living competitive assessment and turnaround planning

Struggling with financial underperformance and lender pressure, a regional senior care provider turned to Gibbins Advisors. We delivered an in-depth assessment—benchmarking performance, conducting our Senior Living Competitive Assessment (on-site competitor evaluation) and identifying key drivers—then provided a Turnaround Plan to drive volumes, increase revenue, and restore confidence.

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See all, Senior Care Andrew Lieu See all, Senior Care Andrew Lieu

Award-winning restructuring of a 10-site senior care portfolio

When QHC—a cash-strapped 10-facility senior care provider—was left without leadership after the sudden passing of its owner-operators, the organization faced crisis. Gibbins Advisors stepped in to provide stability, secure vital DIP financing, and navigate a complex Chapter 11 sale process. The outcome: facilities were successfully sold in a s363 sale with a smooth transition of operations to the buyer, and creditors secured a recovery.

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See all, Health System Andrew Lieu See all, Health System Andrew Lieu

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.

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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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