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Financial and Business Transactions

Financial and Business Transactions


As with most highly-regulated industries, financial and business transactions in the health care industry have different challenges than similar transactions in less-regulated environments. What would otherwise be a perfectly reasonable agreement between businesses could in fact be prohibited by the layers of proscriptive law and regulation that sit atop the business of health care. As experienced health care transactions counsel, we apply our knowledge of traditional business transactions to this regulated industry in order to help our clients succeed.

From incorporating start-up medical practices to merging multi-hospital systems, our attorneys routinely assist our clients in a vast array of financial and business transactions. Our health care lawyers also have the knowledge and experience to handle all types of acquisitions and dispositions of health care facilities, financings and workouts for health care facilities, and leasing and management arrangements.  On a regular basis, we handle practice start-ups for corporations and partnerships, corporate reorganizations, the formation and syndication of ambulatory surgical centers, mergers, sales, acquisitions, and the development of all types of health care facilities, from hospital and nursing home facilities to freestanding emergency departments and radiation therapy centers.



(336) 378-5284
(336) 378-5438
Partner, Banking & Financial Services Co-Leader
(336) 378-5279
Partner, Non-Profit Industry Leader
(336) 378-5551
(404) 962-1026

As examples, we have:

  • Negotiated and implemented numerous joint ventures among various provider organizations
  • Formed integrated delivery systems
  • Assisted in building of formal and informal hospital alliances
  • Established physician-hospital organizations (PHOs) and management services organizations (MSOs)
  • Created and sought qualification of accountable care organizations (ACOs), health maintenance organizations (HMOs), third-party administrators (TPAs), and independent practice associations (IPAs)
  • Created and obtained regulatory approval of hospital-funded product offering pre-paid preventive health services to self-insured employers
  • Provided necessary legal opinions for health care financing
  • Acted as borrower's and bond counsel for taxable and tax exempt bond financings
  • Provided advice on compliance with tax exempt requirements for charitable 501(c)(3) health care organizations

* Past success does not indicate the likelihood of success in any future legal representation.


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