Experience in Action

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.

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

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.

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.

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.

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.

This primary care group needed help navigating COVID-era disruptions and strategic transitions. Over 18 months, Gibbins Advisors supported valuation, recapitalization, and a profitable enterprise sale—maximizing value for physician owners in a complex JV structure.

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.

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.

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.

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.

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.

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.

After a $25M fraud, failed EMR install and severe cash shortages forced the sudden closure of the hospital, Gibbins Advisors worked as Receiver to stabilize the situation, drive asset recoveries, engage competing stakeholders, and protect patients’ medical records.