At Gibbins Advisors, we help organizations overcome distress with clarity and creativity. Our restructuring professionals design and execute practical frameworks that resolve complex financial challenges—leveraging tools such as bankruptcy, out-of-court negotiations, and creative settlement structures to achieve cost-effective solutions.

What makes us different? We don’t just design these frameworks—we ensure they work in practice, supported by operational experts who understand healthcare inside and out.

What We Do

We both design and execute restructuring solutions tailored to your needs:

• Liquidity Optimization - Stabilize cash flow, manage forecasting, and access additional funding under tight timelines and variable operating conditions.

• Asset Monetization - Identify, evaluate, and execute sale opportunities to maximize value and support liquidity needs.

• Restructuring Plans - Develop, negotiate, and implement restructuring plans that optimize value—leveraging in-court processes (Chapter 11, Chapter 9, Assignment for the Benefit of Creditors) when necessary, while prioritizing out-of-court solutions when feasible.

• Operational Turnaround - Pinpoint performance gaps and implement sustainable cost and productivity improvements.

• Stakeholder Management & Communications - Align interests and build trust across boards, management, lenders, physicians, vendors, employees, and regulators.

Roles We Serve In

• Chief Restructuring Officer (CRO) – Hands-on leadership to stabilize operations and implement turnaround strategies.

• Financial Advisor – Independent analysis, strategic options, and execution support for management teams or creditor groups.

• Receiver – Control assets and operations to preserve value and ensure orderly administration.

• Chief Wind Down Officer – Efficiently and responsibly manage the orderly wind down of an organization and its entities.

• Plan Administrator & Liquidating Trustee – Manage wind-down, claims resolution, and distributions post-confirmation or in liquidation scenarios.

Contact Our Team members for more information.

Organizations occasionally face challenges that go far beyond the ordinary—leadership gaps, urgent performance issues, breaching a loan covenant, or major transformations that demand decisive action. These situations require specialized expertise and proven leadership, not just business-as-usual solutions.

At Gibbins Advisors, we step in when the stakes are highest—combining deep restructuring expertise with hands-on healthcare leadership to stabilize, reposition, and deliver sustainable results.

When We’re Called In

Clients turn to us during:

• Leadership Transitions – Ensuring continuity and stability during CEO, COO, or CFO changes.

• Turnarounds & Crises – Supporting management to drive urgent financial and operational improvements, and building credibility with lenders and key stakeholders.

• Strategic Shifts & Major Change – Leading complex transformations that require deep industry expertise.

• Board Renewal or Governance Needs – Adding independent healthcare leaders to the table that bring a strong financial acumen.

What We Do

Working either as consultants or interim management, our services include:

Interim Executive Leadership

• Chief Restructuring Officer (CRO)

• Chief Executive Officer (CEO)

• Chief Operating Officer (COO)

• Chief Financial Officer (CFO)

• Chief Transformation Officer (CTO)

• Interim Non-Executive Directors for Boards

Court-Appointed Roles

• Receiver

• Plan Administrator / Liquidating Trustee

Performance Consulting & Change Leadership

• Rapid Diagnostic Assessments

• Turnaround & Restructuring Planning and Execution

• Business Model Evaluations

• Performance Improvement Initiatives

• Strategic Planning

• Financial Projections & Scenario Analysis

• Cash Flow Forecasting

• Transformation Program Leadership

• Patient Migration & Market Share Studies

Contact one of Our Team members for more information.

At Gibbins Advisors, we support secured lenders, bondholders, creditor groups, and other stakeholders with objective, in-depth analysis and practical recommendations. Whether in distressed, special situations or formal restructuring processes, we bring the experience and judgment needed to guide decision-making and optimize outcomes.

Secured Lender Advisory

We assist secured lenders in understanding the true condition of a loan asset and developing effective strategies to manage risk and maximize recovery.

We help lenders:

• Assess Actual and Projected Performance – Deep analysis of operational performance, key business drivers, and the feasibility of borrower initiatives, budgets, and business plans.

• Understand Balance Sheet Pressure Points – Evaluate capital structure, liabilities, asset monetization potential, and key financial constraints.

• Evaluate Liquidity Runway – Analyze historical and projected cash flow, with a focus on forecasting methodology and short-term liquidity visibility.

Based on a clear, data-driven understanding of the borrower’s position, we provide lenders with:

• Option Modeling – Evaluate alternative paths, including restructuring scenarios and go-forward strategies.

• Negotiation Support – Craft and support proposals, settlement strategies, and stakeholder communications.

• Remedies Guidance – Advise on timing and execution of enforcement actions, both in and out of court.

Creditor & Other Stakeholder Advisory

Beyond secured lenders, our team advises:

• Official and ad hoc creditor committees

• Individual creditors

• Buyers, investors, and other interested stakeholders

We provide diligence, analysis, and strategic guidance to support informed decisions, maximize recoveries, and effectively navigate complex restructurings.

Contact one of Our Team members for more information.

At Gibbins Advisors, our leaders are appointed or approved by bankruptcy courts, federal and state courts, regulatory agencies, and trust entities to serve in official roles requiring independence, technical expertise, and sound judgment.

We bring decades of experience in financial distress, healthcare operations, and restructuring, with deep fluency in the legal, regulatory, and operational complexities that characterize healthcare cases.

Court and Regulatory Appointments Include:

• Chapter 11 Trustee* – Fiduciary responsible for oversight, asset preservation, and resolution in complex Chapter 11 cases.

• Receiver* – Court-appointed officer managing distressed entities or assets, often in a healthcare or regulatory context.

• Liquidating Trustee* – Post-confirmation fiduciary managing wind-downs, claim reconciliation, and distributions.

• Chief Restructuring Officer (CRO) – Officer of the debtor leading stabilization and restructuring under court or creditor oversight.

• Independent Monitor – Oversight role typically arising from purchase transactions, Attorney-General requirements, settlement agreements, regulatory mandates, or court orders.

In addition to formal appointments, our team provides case administration and advisory services to support the effective execution of fiduciary responsibilities.

* Services only provided in the USA market.

Contact one of Our Team members for more information.

At Gibbins Advisors, we bring together C-level healthcare operations experience, deep restructuring acumen, and sharp financial judgment to support buyers, sellers, and stakeholders in healthcare transactions—especially in distressed or transitional settings.

We help clients evaluate opportunities, understand risks, and manage execution, from diligence through integration or wind-down.

Our Services Include:

• Business Plan & Model Diligence – Assess the viability, scalability, and strategic logic of business plans and operating models.

• Financial & Cash Flow Modelling – Evaluate earnings, liquidity, and capital structure through rigorous scenario analysis.

• Management Evaluation – Assess leadership team capabilities, organizational design, and readiness for change.

• Post-Close Execution Support – Plan and manage:

  • Post-close integration – Align systems, teams, and processes to realize deal value

  • Divestiture execution – Manage the operational separation and stand-up of divested entities

  • Wind-down or closure – Oversee orderly transitions, asset monetization, regulatory compliance, and entity dissolution

  • Transformation initiatives – Lead cross-functional change agendas, including cost improvement programs, performance turnarounds, and strategic repositioning

• Program Management - help clients bridge the gap between plan and execution by embedding experienced professionals who bring structure, accountability, and momentum to mission-critical efforts.

Special Situations & Bankruptcy Transactions

• Pre-Packaged Bankruptcy Preparation – Design and support pre-arranged filings to streamline court processes.

• Bid Structuring & Strategy – Assist buyers and sellers in designing, positioning, and executing bankruptcy bids.

• Carve-Out Transactions – Navigate operational and legal complexities of carve-outs from distressed or regulated entities.

We don’t just report on progress—we drive it. Our team takes ownership, provides structure, and keeps efforts on track, even in the most complex, sensitive, or fast-moving situations.

Contact one of Our Team members for more information.

At Gibbins Advisors, we provide objective, fact-based support to clients and their legal counsel involved in complex litigation, regulatory actions, and financial disputes—particularly those involving healthcare organizations and distressed entities.

Our team brings a powerful combination of restructuring expertise, healthcare operations leadership, and real-world C-suite experience to bear in disputes where the facts are complex, the stakes are high, and credibility matters.

Our litigation support services include:

• Independent financial and operational analysis
  Review of financial records, testing business assumptions, and assessing solvency, liquidity, or performance claims.

• Expert testimony and reports
  Delivering clear, defensible opinions and expert reports grounded in deep subject matter expertise.

• Restructuring process scrutiny
  Evaluating the conduct and appropriateness of restructurings, including sales processes, fiduciary duties, and plan feasibility.

• Dispute resolution support
  Assisting settlement negotiations and providing analysis to help parties evaluate risk and potential outcomes.

• Quantifying damages
  Developing methodologies to reasonably quantify harm.

We are retained in roles such as:

• Financial or operational expert for plaintiffs or defendants

• Court-appointed examiner or monitor

• Independent advisor to boards, special committees, or creditors