Health & Community

Tailored restructuring, turnaround and growth solutions for Australia’s entertainment economy.

Helping providers navigate a busy and brittle environment

Australia’s health and community sector often face macro forces beyond its control. Demand is high, government funding is shifting, and workforce plus regulatory pressures are changing how businesses in the sector operate.

To mitigate these forces, providers must find ways to lock revenue cycles, establish an efficient roster to demand, meet patient care needs, and comply with support rulings.

At Olvera Advisors, we support healthcare and community providers with risk management and restructuring plans that work.

Our team helps providers stabilise cash, lift throughput, and earn support from funders and regulators. In a fast-paced market, we offer sound advice and direction, while keeping directors in control of the business as much as possible.

Olvera believes in working with our clients as partners, producing pragmatic plans that are executable in weeks while operating on a flexible fee structure.

KEY TRENDS

What We’re Seeing in the Health and Community Industry

High demand and intense scrutiny remain key considerations.
Hospitals

Both public and private hospitals are under sustained pressure, with emergency departments and elective surgery waitlists growing. Workforce fatigue and capital backlogs are compounding challenges, with median wait times sitting at 46 days and stretching to 329 days.

Supply variability in devices and pharmaceuticals continues to affect patient care, while hospitals also face catch-up costs from deferred maintenance during the pandemic. At the same time, disputes over insurance downgrades, exclusions, and pricing are restricting output even as membership rates climb. Exchange rate pressures, and competition to recruit surgeons and secure privileges add more strain to the healthcare system.

General practice and allied health services are navigating shifting cost and access dynamics. GP bulk-billing rates sit at 77.9%, but so is higher out-of-pocket contributions.

Medicare indexation and frequent program changes create additional uncertainty. Patients increasingly expect digital-first access, raising the bar for IT infrastructure and cybersecurity. While demand remains strong across physiotherapy, dental, optometry, psychology, and other allied services, revenue models are under pressure from payer mix (PHI extras, MBS, NDIS), rising no-show rates, and limits on international recruitment.

NDIS providers face persistent volatility, with capped growth, strict price controls, and heightened audit activity making cash flow unpredictable. Providers also manage an increasing variability in participant plans, while ongoing shortages in allied-health professionals remain a critical constraint.

At the same time, shifts in payment infrastructure are beginning to reshape how providers are funded and reimbursed.

Aged care providers are managing rising compliance and workforce pressures. Mandatory care-minute targets and 24/7 registered nurse coverage have driven up staffing costs, while significant capital investment is needed to upgrade facilities under increased regulatory scrutiny.

Workforce shortages in both registered and enrolled nurses are compounded by global demand, while supply chains for clinical consumables remain stretched. Providers face systems and processes risks while transitioning to the Support at Home program, while staff retention among dispersed workforces also highlights the need for digital scheduling and quality assurance systems at scale.

Community-based and NGO mental health providers are under strain from fragmented funding streams across state, Commonwealth, and Primary Health Networks, with their mounting reporting obligations.

Demand for these services continues to rise, closely tied to economic and social stress factors, but clinician shortages remain a binding constraint. The rapid shift toward digital delivery also heightens risks around data governance, privacy, and online safety, adding new dimensions to service delivery challenges.

Statistics

Statistics at a Glance

Healthcare and Social Assistance employs around 16% of all workers in Australia, making it the nation’s largest employing industry.
In FY2024–25, Medicare processed 475.2 million services, paying $32.4 billion in benefits. The national bulk-billing rate was 75.4% across all MBS services.
As of March 2025, 2.48 million (45.3%) Australians held private hospital cover – the highest level since the pandemic – while more than 15 million had extras cover.
Public hospital elective surgery hit a record high of 778,000 admissions in 2023 – 2024, with a median wait time of 46 days for surgery.
NDIS expenses amounted to $34.2 billion for the first 9 months of 2024–25, with a projected 8% annual growth.
75% of all COVID-related deaths in the first year were among people living in residential care, with 119,652 resident COVID-19 cases recorded.
HOW WE CAN HELP

Our Health and Community Expertise

With decades of advisory experience, we support businesses with effective risk management, insolvency, and restructuring strategies. Here is how we can help

Stabilising Cash and Service Throughput

Cash flow stabilisation and service capacity maximisation by triaging cash and unlocking throughput. Using waitlist-to-capacity models, we redeploy resources into the highest-yield sessions to improve both financial and patient outcomes.

Funding and Pricing Discipline

Strengthening funding strategies and pricing discipline by mapping margins, developing price-limit strategies, and preparing contract packs. We also help providers adapt to changes with operating dashboards and scenario tools.

Capital, Creditors and Restructuring

Design practical pathways to protect and restructure operations, including Safe Harbour activation and contingency planning for SBR or VA. We also support distressed M&A opportunities, such as clinic roll-ups and service line divestments.

The Olvera Difference

Why Partner with Us?

With decades of combined restructuring and advisory experience, our team offers sound advice in all business scenarios.

Solution Focused

We focus on maximising returns and planning for the best outcomes. With milestones and value-based billings, our goal is always to find the right solutions first.

Intelligently Innovative

Working in small teams, we believe in delivering creative, executable plans. Our team is highly resource-driven, utilising our vast networks whenever possible.

Relationship Driven

We see the people and potential behind the numbers. Our service is personable and long-term focused, with the right balance between financial and individual.

Olvera Guides

Restructuring & Turnaround Guide

Download Olvera’s Restructuring & Turnaround service guide for an informative overview of our offerings and industry experience.
Our Experts

Olvera’s Health & Community Experts

Our team of specialist advisors are dedicated to providing expert guidance and personalised solutions for your business.

Kate Foy

Principal
Kate is Olvera’s expert government advisor with a 25-year track record in the Australian public sector.

Damien Hodgkinson

Principal

Damien develops strategic solutions for groups dealing in crisis management and/or distress investment.

Case Studies

Olvera’s Case Studies

Read about our successful client case studies. 

Resources

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