In re Alecto Healthcare Services — Third Circuit Affirms Subchapter V Eligibility and Plan Confirmation

Case
In re: ALECTO HEALTHCARE SERVICES LLC
Court
U.S. Court of Appeals for the Third Circuit
Judge
SHWARTZ (Barack Obama, 2013); MASCOTT (Donald J. Trump, 2025); McKEE (Bill Clinton, 1994)
Date Decided
July 28, 2026
Docket No.
25-1853
Topics
Bankruptcy, Subchapter V, Chapter 11, Fraudulent Transfer
Source
Read the full opinion

Background

Alecto Healthcare Services, LLC, a holding company for healthcare entities, faced insolvency following the COVID-19 pandemic. This led to a lawsuit from former employees of a closed hospital (the “Reed Creditors”), who obtained a money judgment against Alecto for unpaid wages. Shortly after, Alecto filed for bankruptcy protection under Subchapter V of Chapter 11, a streamlined process for small businesses with liquidated, noncontingent debts below a statutory threshold (then $7.5 million).

Alecto listed its debts below this threshold, classifying a significant potential debt to LHP Hospital Group, Inc. (“LHP”) as contingent and unliquidated. This LHP debt arose from Alecto’s guarantee of lease payments for a subsidiary. A prior settlement agreement between Alecto and LHP stipulated that Alecto’s payment obligation was triggered only by a “written demand” from LHP. As of Alecto’s bankruptcy filing, LHP had not made such a demand.

The Reed Creditors challenged Alecto’s Subchapter V eligibility, arguing the LHP debt was noncontingent and liquidated, pushing Alecto’s total debt over the eligibility cap. The Bankruptcy Court rejected this challenge, and also confirmed Alecto’s reorganization plan, which included a $25,000 settlement releasing potential fraudulent transfer claims against Alecto’s insiders concerning a transaction known as the “Sunrise Transfer.” The District Court affirmed both of the Bankruptcy Court’s orders, and the Reed Creditors appealed to the Third Circuit.

The Court’s Holding

The Third Circuit affirmed the District Court, holding that Alecto was eligible for Subchapter V and that the settlement was properly approved. The court first denied Alecto’s motion to dismiss the appeal on mootness grounds, finding that the appeal was neither constitutionally nor equitably moot because effective relief was still possible and the bankruptcy was not sufficiently complex to justify applying the equitable mootness doctrine.

On the merits, the court agreed that the LHP debt was contingent as of the bankruptcy petition date. Because the settlement agreement required LHP to make a written demand for payment—a future event that had not yet occurred—Alecto’s legal duty to pay had not arisen. The court also found the debt was unliquidated because its amount was not “readily and precisely determinable,” as the underlying lease charges fluctuated monthly and Alecto had not received any invoices. Because the LHP debt was properly excluded from the Subchapter V eligibility calculation, Alecto qualified for relief.

The court also held that the Bankruptcy Court did not abuse its discretion in approving the $25,000 settlement of avoidance claims against Alecto’s insiders. Applying the *Martin* factors, the court found the settlement was fair and equitable. The record showed a low probability of success in litigation, as unrebutted evidence indicated Alecto was solvent at the time of the Sunrise Transfer. Furthermore, litigating the claims would have been complex, expensive, and would have delayed distributions to creditors. The settlement, therefore, fell within the “range of reasonableness.”

Key Takeaways

  • A debt is “contingent” for bankruptcy eligibility purposes if the debtor’s legal obligation to pay depends on a future event that has not yet occurred, such as a contractually required written demand for payment.
  • A debt is “unliquidated” if its amount is not readily and precisely determinable as of the petition date. Fluctuating payment amounts and the absence of an invoice can render a debt unliquidated.
  • A bankruptcy court’s approval of a settlement will be affirmed unless it rests on a clear error of fact or law. Courts may approve settlements releasing claims against insiders where an investigation reasonably concludes that the claims have a low probability of success and that litigation would be costly and inconvenient for the estate.
  • The equitable mootness doctrine is reserved for complex bankruptcies and is unlikely to be applied in a streamlined Subchapter V case involving a single integrated transaction.

Why It Matters

This decision provides important clarity on the definitions of “contingent” and “unliquidated” debt, which are critical for determining a small business’s eligibility for the streamlined Subchapter V bankruptcy process. By treating a contractual demand for payment as a condition that renders a debt contingent, the ruling offers a bright-line rule for debtors and creditors assessing Subchapter V eligibility. It reinforces the principle that eligibility is determined based on the facts existing at the exact moment the bankruptcy petition is filed.

The opinion also reaffirms the broad discretion granted to bankruptcy courts in approving settlements, even those that release insiders from significant potential liability for a relatively small sum. It demonstrates that as long as the decision is based on a reasonable investigation and a proper balancing of the relevant factors—primarily the likelihood of success versus the cost and delay of litigation—appellate courts are unlikely to second-guess the judgment of the bankruptcy court.

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