
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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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.
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.
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.
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.