What does it mean for a healthcare organization to be in financial distress?

Financial distress in healthcare typically involves sustained operating losses, declining liquidity, or covenant violations that threaten a provider’s ability to continue operations without restructuring or external support.

How does PYA assist hospitals and providers in financial distress?

PYA provides rapid financial assessments, cash flow stabilization plans, creditor and regulator communications, and restructuring guidance tailored to each organization’s operational realities and regulatory obligations.

What are common warning signs of distress in healthcare organizations?

Key indicators include chronic negative margins, delayed payables, increased borrowing for operations, declining patient volumes, and missed regulatory reporting deadlines.

How can creditors and investors benefit from PYA’s advisory services?

PYA assists creditors, lenders, and investors with objective financial analyses, collateral evaluations, and oversight of restructuring or liquidation processes to ensure transparency and optimized recoveries.

How is healthcare restructuring different from other industries?

Healthcare restructuring requires expertise in reimbursement systems, compliance rules, and provider relationships that general turnaround firms often lack. PYA’s healthcare specialization bridges financial and operational realities.

What outcomes can organizations expect from a successful restructuring?

Typical outcomes include restored liquidity, improved revenue cycle performance, debt renegotiations, or structured exits that preserve patient access and community health services.

How does PYA maintain objectivity in distressed engagements?

As an independent, employee-owned firm, PYA is free from lender or investor ownership, ensuring unbiased recommendations focused solely on the client’s best path forward.

What differentiates PYA from other healthcare restructuring firms?

Our advisors combine deep healthcare finance experience, regulatory knowledge, and forensic expertise, offering a fully integrated approach from crisis assessment through recovery and transformation.

Services for Distressed Healthcare Organizations

Recognized nationally as a leading financial and restructuring advisor, PYA provides financial advisory, forensic investigation, and litigation support services for creditors, debtors, and regulators of hospitals, nursing and senior living facilities, physician practices, and other healthcare organizations. With extensive experience serving as expert witnesses, our team helps organizations navigate financial challenges by delivering strategic direction and operational insights. PYA’s healthcare turnaround professionals assist clients in stabilizing performance, restoring financial health, and guiding sustainable recovery across every stage of distress.

Our Services for Financially Distressed Healthcare Organizations

Creditor and Regulator Services

Assessing Financial Reporting and Budgeting Results
Developing and Evaluating Financial Projections and Reorganization Plans
Supporting Development and Implementation of Operational Improvements
Facilitating Debtor and Inter-Creditor Negotiations
Providing Valuation Opinions
Assessing Working Capital Needs
Performing Avoidable and Fraudulent Transfer Analyses and Asset Tracing
Identifying Asset Sale Opportunities
Serving as Receivers and Liquidating Trustees
Forensic Accounting & Investigations

Debtor Services

Evaluating Business Plans and Strategic Alternatives
Developing Short-Term Cash Flow and Liquidity Projections
Identifying and Disposing of Non-Core Assets
Facilitating Creditor Negotiations and Vendor Contract Terminations
Supporting Distressed Sale Transactions and Section 363 Bankruptcy Sales
Preparing Valuation Opinions
Providing Orderly Wind-Down Project Management Services
Assisting With Post-Close Integration

Proven Guidance Through Complex Healthcare Turnarounds

Distressed Healthcare Organizations Advisory Services | PYA

Guiding Providers Through Complex Turnarounds

PYA’s healthcare advisors work with hospitals, health systems, post-acute providers, and physician groups nationwide to navigate distressed conditions while maintaining patient care continuity and regulatory compliance.

Expertise Across Stakeholder Perspectives

We assist debtors, creditors, regulators, and investors with financial, forensic, and operational analyses that support restructuring, refinancing, or transaction execution under challenging conditions.

Proven Insight for Sustainable Recovery

Whether a client seeks stabilization, strategic realignment, or a structured exit, PYA’s interdisciplinary team provides objective advice grounded in decades of healthcare, valuation, and regulatory experience.

The PYA Difference

Over our 40-year history, PYA has consistently delivered high-value advisory services to our national client base. Our team is deployed to develop custom plans using proven approaches and work plans.

Independence

Private ownership means we answer only to our clients, not to third-party investors, giving us the freedom to be thorough and thoughtful in our work. We judge our success by our clients’ success.

Relationships

We value long-term relationships and work hard to maintain them. Our commitment to client relationships and the communities we serve remains constant.