Health Care Transactions

Prepared several options for a health system and physician-owned surgical hospital to affiliate in a secondary market. Provided regulatory advice, including an analysis of potential Stark Law and Anti-Kickback Statute compliance issues, as well as antitrust and federal tax law advice.

Represented a health system in its sale of a skilled nursing facility to the management firm of the nursing facility. Formulated potential structures, drafted and negotiated various agreements, and implemented each agreement’s operation. The sale involved a bed purchase agreement, Medicare change of ownership, certificate of need and comprehensive facility and operating lease, as well as several regulatory filings.

Negotiated and prepared affiliation agreement between two children’s hospitals with respect to the joint operation and ownership of one of the locations. The affiliation included a complex conversion and purchase option in favor of one of the hospitals that allowed it to purchase the other hospital outright in the event that certain “triggers” occurred.

Structured an arrangement between a large health system and a university for the health system to provide various health care and ancillary services to the college’s student and employee populations. Advised on real estate, corporate, health care and education law issues.

Assisted Adams County Regional Medical Center in its conversion from a county-owned hospital to a private health care provider. The transaction required obtaining bond financing for the acquisition and conversion of the hospital facilities, real property and assets, and resulted in the continuation of local care for Adams County residents. 

Advised a government-owned hospital and worked with elected officials to convert a public hospital into a nonprofit business and large health care system affiliate.  The transaction involved unique and negotiated features necessary to satisfy elected officials’ priorities, the community’s needs for local health care access, and the opportunities and efficiencies available through affiliation with a sophisticated tertiary care system.

Arranged and negotiated a health system’s acquisition of a minority interest in a rural hospital.

Negotiated and closed dozens of physician employment and practice acquisition transactions on behalf of hospital clients.

 Currently serve as lead counsel to the physician compensation committee of a large health system that employs over 750 physicians. 

Structured and negotiated a health system’s joint venture arrangement with a national, for-profit oncology services provider involving the health system’s entire oncology service line and employed medical and radiation oncologists

Arranged an affiliation between a large, hospital-owned physician group and the faculty practice plan of a state-owned college of medicine

Represented a large, multi-hospital health system in connection with a complete corporate reorganization of the system from a joint operating agreement model to a fully-horizontally integrated model