Healthcare Turnaround & Restructuring

When healthcare
organizations need
a steady hand.

Restoring Stability. Driving Recovery. ROSC Advisors partners with hospitals, health systems, and physician groups navigating financial and operational complexity.

$2B+
Debt restructured
50+
Engagements
30+
Years experience

Practical solutions for complex challenges

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.

Financial Restructuring

Balance sheet optimization, debt restructuring, creditor negotiations, and liquidity management to restore financial health and operational flexibility.

Turnaround Management

Rapid assessment and execution of operational and financial turnaround plans, including interim management and performance improvement programs.

Interim Leadership

Experienced CFO, COO, and CEO-level executives placed quickly to stabilize leadership, restore confidence, and drive decisive action in critical moments.

Strategic Advisory

M&A advisory, affiliation strategy, and transaction support for health systems evaluating partnerships, divestitures, or strategic alternatives.

Performance Improvement

Revenue cycle optimization, cost structure analysis, workforce alignment, and clinical operations improvement to drive sustainable margin recovery.

Lender & Board Advisory

Independent advice to lenders, bondholders, and boards on healthcare borrower situations, covenant compliance, and workout strategies.

A different kind of advisor.

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.

100%
Healthcare focused

Built for the complexity of healthcare

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.

Operator mindset
Financial rigor
Stakeholder trust
Mission alignment
Speed to impact
Discretion
Results

Proven outcomes across diverse situations

Community Hospital

Stabilizing a distressed rural hospital facing closure

A 150-bed community hospital with negative operating margins and accelerating cash burn engaged ROSC to lead a comprehensive operational and financial turnaround.

$18M annualized cost savings identified within 90 days
Health System

Out-of-court debt restructuring for a regional system

Led creditor negotiations for a three-hospital system with over $400M in outstanding debt, achieving a consensual restructuring that preserved operations and jobs.

$400M debt restructured without bankruptcy filing
Physician Group

Revenue cycle transformation for a multi-specialty group

Embedded team identified systemic billing and coding gaps across 12 specialties, implementing process redesigns that drove a rapid improvement in net collections.

+22% improvement in net collections within 6 months
Our team

Experienced advisors, real operators

JM
Jane Mitchell
Managing Partner

Former CFO of a 10-hospital system with 25+ years in healthcare finance. Jane leads complex restructuring and interim management engagements.

DR
David Reyes
Partner, Restructuring

Investment banker turned healthcare operator with deep expertise in out-of-court workouts, Chapter 11 processes, and lender-side advisory.

SC
Susan Chen
Partner, Operations

Former COO with expertise in revenue cycle, workforce redesign, and clinical operations. Susan leads performance improvement engagements.