Service
Financial Restructuring
Right-size the balance sheet without compromising clinical excellence.
Overview
What this engagement looks like
Hospitals carrying legacy debt, mismatched payer mixes, or stranded capex burdens need more than refinancing — they need a financial architecture rebuilt around the realities of healthcare cash flow. We help CFOs and Boards engineer durable financial structures.
When to engage us
Challenges we typically solve
Debt-service coverage ratios under pressure
Working-capital gaps from payer reimbursement delays
Capex commitments outpacing operating cash generation
Suboptimal payer mix dragging on realized rates
How we work
Our approach
Diagnose
Forensic review of debt stack, working-capital cycle and payer-rate economics.
Model
Build a 5-year integrated financial model with stress-tested scenarios.
Restructure
Negotiate with lenders, restructure debt, optimize payer contracts.
Govern
Embed KPI-driven board dashboards so gains stick.
What you receive
- Integrated 5-year financial model (P&L, cash flow, balance sheet)
- Debt-restructuring plan negotiated with key lenders
- Payer-contract renegotiation playbook
- Board-grade dashboard for ongoing financial governance
Outcomes you can expect
- DSCR improvement of 0.3–0.6x within 12 months
- Working capital cycle compressed by 20–35 days
- Realized rate uplift of 4–8% on renegotiated payer contracts
Related
Other services we offer
Hospital Turnaround Advisory
Reverse the slide. Restore margins. Rebuild trust — all in the same engagement.
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Sharper throughput. Lower variation. Better outcomes — without burning out the team.
Read moreRevenue Cycle Management
From admission to collection — every step audited, every leak plugged.
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