How do RX MDs source mandates?

Considering that many creditors are the same across various mandates, it would make sense if an MD had an established relationship with them and was able to bring in repeat clients, but how does it work on the debtor side? Does an RX MD just approach a company in financial distress and say "hey, you're about to go bankrupt; here's what we can do for you?" Given that the best outcome would hopefully mean no repeat debtor clients, I'm just wondering.

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