Representative Experience
    • Prepared forms and guidelines for two large healthcare systems relevant to physician practice acquisitions generally.

      Provided regular support for over a decade to a health system operating nationwide with respect to their physician practice acquisitions and dispositions (all specialties).

      Represented three medical practice groups practicing in the specialty of pain management in a combination transaction.

      Represented a regional health system in the acquisition of a physician practice and joint venture of surgery center associated with the practice.

      Worked on private equity matters involving physician practice acquisitions.

      Simultaneously represented five independent plastic and cosmetic surgical practices and three medical spas in the (i) contribution of the assets used in the operation of the medical practices and spas to a newly formed management services organization, and (ii) the sale of a majority of the interests in the management services organization to a leading private equity firm portfolio company for consideration in excess of $75 million. 

      Represented a physician practice specializing in the subspeciality of dermatopathology in its acquisition by a leading private equity firm portfolio company for consideration in excess of $35 million.

      Represented an ophthalmology practice in its acquisition by a leading private equity firm portfolio company for consideration in excess of $35 million.

      Represented a functional medicine practice in conjunction with the drafting of agreements for the new practice to become operational in Texas and build out clinical care offerings via mid-level providers. (Blue Agave Functional Medicine)

      Represented a behavioral health practice in conjunction with revisions and updates to patient intake forms in order to conform with state law behavioral health-informed consent rules. (Behavioral Health Dallas)

      Represented multiple physician groups and hospitals in physician-hospital integration transactions.

      Represented multiple ophthalmology, oncology and primary care practices in sales to private equity-backed physician practice management companies.

      Represented an emergency services practice in its sale to a national hospital-based physician group.

      Represented numerous physician practices across specialties (including multi-specialty, cardiology, cardiovascular surgery, orthopedic surgery, and pulmonary and critical care) in sale and integration transactions with hospital systems.

      Represented multiple physician groups and hospital systems in structuring and implementing service line management transactions.

      Assisted radiology, gastroenterology, cancer and concierge physician practices with integrating and affiliating with an academic medical center.

      Provided advice regarding Stark Law and anti-kickback compliance issues.

      Performed compliance assessments on behalf of physician practices.

      Provided guidance on reimbursement issues arising from governmental and commercial payors.

      Assisted physician practices with overpayment audits and administrative appeals.

      Helped negotiate and draft clinical trial agreements and facility site agreements on behalf of physician practices.

      Assisted physicians, specifically the sale of a podiatry practice and sale of an ENT practice, with sales of their practice to private equity parties. Led diligence on these deals, drafted transaction documents, assisted in the negotiations of transaction documents, and analyzed regulatory issues that arose.

      Analyze and advise physician practices on proper corporate structuring and ownership matters that arise due to various state Corporate Practice of Medicine Doctrines.

      Analyze and advise physician practices based on operational matters that arise during practice regarding state and federal healthcare fraud and abuse statutes.

      In the sale of an ENT practice, analyzed practice documents for diligence purposes, met with physician sellers to identify any items that needed to be disclosed on Disclosure Schedules to the purchase agreement, participated in meetings with physician sellers to identify key terms for negotiating employment agreements, and drafted physician employment agreements that would be in effect after the transaction closed.

      In the acquisition of a podiatry practice, we analyzed practice documents for diligence and identified Anti-Kickback Statute and Stark Law concerns regarding improper personnel performing and billing for x-ray services, coordinated all SMEs and finalized the diligence memo for the client, and drafted physician employment agreements that would be in effect after the transaction closed.

      Advised an OBGYN physician clinic on incident-to billing practices.

      Represented a urologist in the sale of his practice to a large health system.

      Reviewed and negotiated a call coverage agreement on behalf of an ophthalmologist.

      Drafted and negotiated an emergency room staffing agreement on behalf of a physician practice.

      Represented an OBGYN physician in the sale of two clinics.

      Prepared and executed software agreements, genomic testing agreements, data privacy, AI-vendor agreements, image viewer agreements, strategic investment agreements, stock agreements, and merger documents for physician practice specializing in precision diagnostics and patient care services in personalized medicine, genomic, DNA, and AI systems.

      Prepared and executed data-sharing agreements, privacy policies, employment agreements, financing, and corporate conversions for a behavioral health practice related to engaging video training and resources for practitioners, their clients and patients, and those who support them.

      Advised dermatology practices on technology (image-guided SRT) and technology deals related to equipment procurement, regulatory, treatment room, machine installation, clinical treatment, practice metrics, and medical documentation. 

      Represented a dermatology practice in the technology acquisition ($50 million in patent and IP) of a $100 million credit facility with revolver for operations.

      Represented a dental practice in relation to a transaction regarding software and a proprietary code.