Leech Tishman Nelson Hardiman has developed a keen understanding of the healthcare sector, with a particular focus on industry trends and innovative healthcare services. Our attorneys routinely advise clients on physician-hospital ventures, structuring entities that benefit patients, physicians, and hospitals. We negotiate complex financial vehicles and address the full spectrum of business, regulatory, and strategy concerns to build and sustain physician-hospital ventures.
We meet clients at the intersection of healthcare law and innovation to drive success within physician-hospital joint ventures. We advise clients regarding a range of business ventures, including multispecialty and orthopedic ambulatory surgery centers, cardiac catheterization, cardiovascular CT imaging, vascular services, orthopedic, heart, spine, neuro-spine, and surgical specialty hospitals, and many others.
Our attorneys provide regulatory counsel on Stark and anti-kickback laws, as well as financial acumen encompassing joint equity ventures, participating bond transactions (PBTs), and contractual integration. Leech Tishman Nelson Hardiman aligns both physician and hospital management goals to create strategic growth models that are united by a shared vision for successful physician-hospital ventures.
- Documented the financing and/or sale of over 25 ambulatory surgery centers
- Advised on entity formation and business structure for various hospital-physician ventures
- Represented out-of-network outpatient surgery centers (ASCs) in a federal putative class action against healthcare insurers and numerous ERISA plans for alleged failure to reimburse the ASCs according to a proper methodology for calculating the usual, customary and reasonable (UCR) reimbursement as set forth in the plans
- Negotiated clinical ventures between hospitals and affiliated physicians
- Advised on Knox-Keene and Department of Managed Health Care (DMHC) license application requirements for physician-hospital ventures throughout California
- Handled complex transactional matters, including mergers and acquisition and joint ventures, for physician-hospital ventures
- Represented the borrower in obtaining a $15.8 million syndicated loan facility to restructure 12 physician clinic practices and ambulatory surgery centers located in California
- Created a new security worth $100 million for a physician-hospital joint venture as a bond-equivalent for a hedge fund seeking stable but higher returns based on cash flows captured from healthcare organizations