Restoring Stability. Driving Recovery. ROSC Advisors partners with hospitals, health systems, and physician groups navigating financial and operational complexity.
We bring deep healthcare sector expertise and hands-on operating experience to every engagement. Our advisors have worked alongside boards, management teams, and lenders to stabilize organizations and build durable recovery plans.
Balance sheet optimization, debt restructuring, creditor negotiations, and liquidity management to restore financial health and operational flexibility.
Rapid assessment and execution of operational and financial turnaround plans, including interim management and performance improvement programs.
Experienced CFO, CLO, and CIO-level executives placed quickly to stabilize leadership, restore confidence, and drive decisive action in critical moments.
M&A advisory, affiliation strategy, and transaction support for health systems evaluating partnerships, divestitures, or strategic alternatives.
Revenue cycle optimization, cost structure analysis, workforce alignment, and clinical operations improvement to drive sustainable margin recovery.
Independent advice to lenders, bondholders, and boards on healthcare borrower situations, covenant compliance, and workout strategies.
We don't parachute in with generic playbooks. Our advisors have held operating roles inside healthcare organizations — which means we understand the human dynamics, the clinical sensitivities, and the stakeholder pressures that shape every situation.
That experience makes us faster, more credible, and more effective when it matters most.
ROSC Advisors was founded by healthcare operators and financial professionals who recognized that most restructuring firms lack the sector depth that healthcare situations demand.
We work alongside management teams, not above them — rolling up our sleeves to implement solutions, not just recommend them. Our engagements are hands-on, time-efficient, and results-driven.
Managed liquidity for a distressed regional hospital system in crisis. Built borrowing base analyses for senior secured lenders, deep-dived revenue cycle to identify collection recovery opportunities, and set up a comprehensive data room for prospective acquirers.
Guided a hospital system through one of the most complex healthcare bankruptcies in recent history — 21 filing entities, 24 objecting parties, 4 union CBAs, and a substantive consolidation confirmed by the court.
Led the operational turnaround of a hospital system facing deepening losses. Restructured labor, consolidated shared services, renegotiated contracts, and rebuilt physician-level P&Ls to drive data-informed decisions.
18+ years leading financial operations and restructurings across hospitals and health systems. Former CFO who guided a hospital system through Chapter 11 — raising a $70M DIP facility, eliminating $341M in liabilities, and reducing operating losses by $69M year-over-year.
25+ years leading revenue cycle operations across multi-site acute care systems. Expert in charge capture, coding accuracy, denial management, and AR recovery. Identifies and closes reimbursement gaps across Medicare, Medicaid, and commercial payors.
Specializes exclusively in healthcare legal matters including physician contract negotiation, Chapter 11 filings, plan confirmation, lender negotiations, equipment and real estate lease restructuring, JV negotiations, payor settlements, and union agreements.
Senior HR leadership across complex multi-site health systems. Expert in collective bargaining negotiations, WARN Act compliance, workforce reductions, and labor restructuring. Designs HR frameworks that survive and support operational turnarounds.
20+ years leading supply chain and procurement at large healthcare organizations. Specialist in consolidating vendor spend, renegotiating pricing agreements and GPO contracts, and eliminating supply chain redundancies to deliver rapid, tangible cost savings.
25+ years of healthcare-specific audit, accounting, and compliance experience including CMS cost reporting and Medicare/Medicaid reimbursement. Paired with specialized IT advisory covering vendor rationalization, system consolidations, and reducing IT overhead.