Pioneer Health Systems LLC (d/b/a Direct Orthopedic Care), a Plano, Texas-based orthopedic urgent care provider founded in 2014 that operated walk-in clinics across the Dallas-Fort Worth, Austin, and Oklahoma City regions with 167 full-time employees, filed for Subchapter V Chapter 11 protection on February 21, 2024 in the District of Delaware (Case No. 24-10279) before Judge J. Kate Stickles, along with four affiliated entities. The filing followed an underfunded growth model that prioritized expansion over profitability, leaving the company unable to service approximately $12 million in total debt—including $9.76 million owed to insiders—and meet recurring obligations to trade creditors and landlords. The debtors obtained three sequential DIP financing facilities: a $700,000 initial facility from David Hassinger (15%+), a $450,000 term facility from TFGH Ventures (17.5%), and a $700,000 revolving facility from Bonito Kitty that assumed the original Hassinger obligations (16.5%). The Second Amended Subchapter V Plan was confirmed on December 20, 2024, providing for equity retention, priority and convenience claims paid in full on the effective date, and general unsecured creditors receiving projected disposable income distributions of $7.26 million through February 2030. A post-confirmation sale process exploring equity purchase proposals valued at approximately $12 million was terminated on April 25, 2025 after two auctions failed to produce a qualified buyer, and the debtors proceeded with reorganization. The plan became effective May 5, 2025, and substantial consummation was noticed January 23, 2026.