Overview

Members of our firm have spent the last 30 years helping financially distressed entities develop and implement strategies to fulfill their mission and meet their bottom line. Our clients include a range of healthcare entities as well as public and nonprofit hospitals and academic medical centers. Many are “safety-net” providers providing uncompensated services in vulnerable communities. MHS helps our clients address a broad range of governance, administrative, financial, operational and clinical matters on the road to financial and operational recovery. MHS's critical “turnaround” advice and supportive services include:

• In-depth analysis of the full range of operational and financial issues faced by the provider
• Development of solutions involving internal changes and, where appropriate, external support
• Use of proven service delivery models to help a provider improve its financial standing
• Extensive negotiations with creditors
• Corporate restructurings and various merger, sale and other transactions
• Bankruptcy protection

Manatt Health Solutions has developed creative financing techniques to provide relief to our financially distressed clients. Our restructuring practice has helped nonprofit, as well as state, city and county-sponsored hospitals and community health centers address their structural and financial challenges. Each restructuring is done in a comprehensive, practical manner, helping institutions survive and continue to serve their communities. Our restructuring services can assist providers in becoming more efficient and in adapting to the constantly changing healthcare environment. MHS professionals work with healthcare systems to conduct in-depth organizational reviews and develop a template for change in the following areas:

• Corporate and organizational framework
• Administrative and management structure
• Licensure and accreditation
• Demographic and market analysis
• Medical staff organization
• Physician arrangements
• Physician staffing
• Clinical programs
• Clinical or other affiliation arrangements
• Graduate medical education programs
• Financial performance, and budgetary and financial relationship to sponsoring or affiliated entities, including review of operating and capital budgets, and third-party billing and reimbursement issues
• Personnel administration/labor relations
• Facilities plans, including condition and needs for plant and equipment
• Capital financing requirements and potential refinancing or other restructuring options
• Real estate holdings/existing mortgage obligations
• Medical malpractice and other insurance