Health & Community

Helping healthcare and community providers stabilise cashflow and stay compliant through fast, pragmatic restructuring and risk plans.

Advisory for a sector under structural pressure.

Australia’s health and care sector is growing faster than almost any other part of the economy - and yet financial distress among providers is rising. Demand is structurally high. Government funding continues to expand. But workforce costs, regulatory complexity, and capped revenue models are squeezing operators from every direction.

Olvera Advisors works with healthcare and community providers, investors, and lenders who need clear-eyed advice in this environment - whether that means stabilising a distressed operation, assessing a sector investment, or navigating the next wave of consolidation.

KEY TRENDS

What We’re Seeing in the Health and Community Industry

The sector's core challenge isn't demand. It's the growing gap between what it costs to deliver care and what funding models actually pay.
Hospitals

Public and private hospitals remain under sustained operational and financial pressure. Emergency departments are operating at or beyond capacity, with elective surgery waitlists stretching to 329 days in some settings. Workforce fatigue, deferred capital maintenance, and bed block — patients who are medically ready for discharge but can't access aged care or disability accommodation — are compounding systemic strain. In NSW alone, health expenditure now exceeds $30 billion annually, yet capacity constraints persist. Private hospital operators face added pressure from declining private health insurance participation among younger demographics and rising labour costs. Apparel, Footwear & Accessories

Discretionary retailers remain highly vulnerable to insolvency risk, particularly in fashion and specialty apparel. Ultra-low-cost cross-border platforms are intensifying competition. Supply chain delays, rising return rates, and increasing regulatory obligations around sustainability add further strain.

General practice and allied health services are navigating a sustained margin squeeze. The Medicare rebate gap between regulated rebates and actual service costs has contributed to declining bulk-billing rates, particularly in outer-metro and regional areas. For allied health, fragmented funding across Medicare, NDIS, private health insurance, and workers compensation creates significant administrative overhead. Workforce shortages in occupational therapy, speech pathology, and psychology are acute. Consolidation is accelerating, with private equity increasingly targeting multidisciplinary clinic networks to achieve scale.
NDIS providers are under acute financial pressure. Insolvency appointments in disability services increased by more than 200% between 2023 and 2025, with an estimated 230 health and social assistance insolvencies projected for 2026. More than half of disability providers reported zero profit in 2024-25. The combination of capped NDIS pricing, rising wage obligations, compliance costs, and payment delays has created an unsustainable operating environment for smaller operators. Consolidation into larger, integrated disability care platforms is expected to accelerate significantly over the coming year
Aged care providers are navigating the most significant reform cycle in the sector's history. Post-Royal Commission mandates including mandatory care-minute targets, 24/7 registered nurse coverage, and substantial wage increases for aged care workers have sharply increased operating costs. Many facilities are now operating at a loss. Without accelerated capital investment, Australia faces a projected shortfall of approximately 90,000 aged care beds by 2040. New development has slowed due to rising construction costs, regulatory complexity, and uncertain funding models, creating both a supply crisis and a long-term investment opportunity.
Community-based and not-for-profit health providers operate under fragmented funding structures spanning federal, state, and PHN streams, with mounting reporting obligations attached to each. NFPs represent approximately 70 to 80% of disability and community health providers respectively, meaning their structural fragility has outsized consequences for the sector. Demand continues to rise, closely tied to economic and social stress factors, but clinician shortages remain a binding constraint. Many organisations face governance and financial sustainability challenges that compound operational risk.
Statistics

Statistics at a Glance

Australia spent $252 billion on health, equal to 10.4% of GDP. (AIHW, Health Expenditure Australia)
Health Care and Social Assistance employs around 2.3 million Australians, making it one of the nation's largest employing industries. (abs.gov.au)
NDIS expenditure reached $42 billion. (National Disability Insurance Agency)
Insolvency appointments in the sector increased by more than 200%. (RSM Australia)
Australia faces a shortfall of 90,000 aged care beds. (Department of Health, Disability and Ageing)
Not-for-profits operate 65% of home care services and 57% of residential aged care services. (Australian Institute of Health and Welfare)
HOW WE CAN HELP

Our Health and Community Expertise

The sector's paradox of rising demand alongside rising distress requires advisors who understand both the financial mechanics and the regulatory environment. Here is how we help.

Stabilising Cash and Service Throughput

When funding delays, workforce costs, or compliance obligations put cash flow under pressure, speed matters. We triage financial position, model waitlist-to-capacity scenarios, and redeploy resources into highest-yield service lines, stabilising operations while preserving care delivery and director control. 


Funding Architecture and Pricing Discipline

Revenue in the health and care sector is largely determined by government policy, not market demand. We help providers map their funding exposure, build price-limit strategies across mixed-payer environments (NDIS, Medicare, PHI, direct), and develop the financial dashboards and scenario tools needed to respond quickly when funding conditions shift.

Capital, Consolidation, and Restructuring

Whether you are a provider under financial stress, an investor assessing a distressed asset, or a board weighing a merger or acquisition, we bring the sector knowledge and restructuring expertise to structure the right outcome. Services include Safe Harbour activation, voluntary administration and DOCA pathways, distressed M&A advisory, and capital recapitalisation strategies.


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.
Restructuring and Turnaround Guide 2026
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

Latest Insights, News, and Reports

Read our latest articles and insights on the world of business insolvency in Australia.

Insights

There's a number that governs every concrete pour in Sydney, and almost no one outside the industry has heard of it. Ninety minutes. That's roughly ...

Insights

The collapse of the Shield Master Fund (and related failures such as First Guardian) represents one of the most instructive case studies in the modern ...

Insights

As billions flow out of large APRA-regulated funds and into self-managed structures, the job of screening investments is moving to financial planners and wrap platforms ...