M&A

• Represented a client in its sale of multiple, long-term acute care facilities to a private equity-backed portfolio company.
• Represented a Texas health maintenance organization in the sale of its assets and assignment of its provider, beneficiary, and Medicare/Medicaid contracts to a national insurance company.
• Represented a hospital in the acquisition of a Texas joint stock insurance company.
• Represented a radiology practice in unwinding an unsuccessful merger with another practice.
• Represented a large physician single specialty group in the sale of its for-profit management company to a national for-profit physician management company, involving stock transfers, stock options, convertible debt, securitization of debt, the employment of key executives, and administrative services agreements between the management company and the physician clinics.
• Represented a national for-profit home health company in selling two of its Texas home health agencies.
• Represented the U.S. operations of a global company in its strategic acquisition of multiple optical laboratory operations.
• Represented a national for-profit hospital company in its acquisition of two west Texas physical therapy practices.
• Represented non-profit hospital in the acquisition of orthopedic practice assets and employment of group’s physicians by non-profit hospital.
• Represented a large Dallas-based optical company in its acquisition of a New York-based optical laboratory.
• Represented a private equity-backed portfolio company in its acquisition of multiple optometrist businesses across the U.S.
• Represented a private equity-backed portfolio company in its acquisition of multiple cancer centers across the U.S.
• Represented multiple dermatology practices in the sale of assets.
• Represented a private equity-backed portfolio company in its acquisition of multiple medical oncology and radiation oncology practices across the U.S.
• Represented a private equity-backed portfolio company in its acquisition of multiple ambulatory surgery centers across the U.S.
• Represented a private equity-backed portfolio company in the acquisition of multiple occupational health clinic practices across the U.S.
• Structured a hospital-physician joint venture to operate a hospital outpatient department.

Hospital

• Represented a hospital in the acquisition of a Texas joint stock insurance company.
• Represented a national for-profit hospital company in its acquisition of two west Texas physical therapy practices.
• Represented a children’s specialty hospital in the creation and structuring of its 5.01a Texas Certified Nonprofit Healthcare Organization, the purchase of over 30 multi-physician group practices valued at over millions of dollars in the aggregate, and the employment of over 120 pediatricians.
• Represented a national for-profit hospital company in its initial limited partnership offering funding the development of a birth center at its women’s hospital.
• Represented a children’s specialty hospital in the acquisition of a home health company’s assets and operations.
• Represented a non-profit hospital in a joint venture with a for-profit company to operate urgent care centers.
• Represented a non-profit hospital in the acquisition of orthopedic practice assets and the employment of the selling group’s physicians.
• Represented a public hospital company in unwinding several physician joint ventures that owned and operated major medical equipment related assets.
• Represented a Texas Hospital District in the sale of its acute care hospital and related facilities to a national for-profit hospital company with requirements for the company to build the community a new state-of-the-art hospital facility and provide on-going indigent care at specified levels.
• Represented a Texas non-profit healthcare system in the creation and structuring of its 5.01a Texas Certified Nonprofit Healthcare Organization for primary care and the purchase of eight physician practices and the employment of over 30 physicians.

Joint Ventures

• Represented a for-profit company in negotiating a joint development agreement with a specialty cancer hospital for the production of radioisotopes and research regarding same.
• Represented a for-profit company in structuring its joint ventures for radiation therapy centers across the U.S. to provide IMRT services for physician group practices, drafting of the appropriate private placement and other offering documents, and development of the purchased services and management services agreements.
• Represented a non-profit hospital in a joint venture with a for-profit company to operate urgent care centers.
• Represented a public hospital company in unwinding several physician joint ventures that owned and operated major medical equipment assets.
• Represented numerous orthopedic surgeons, anesthesiologists, pediatricians, radiologists, and other specialists in sales of their practices and in the negotiation of their employment agreements.
• Represented numerous physicians, physician groups, and oral surgeons in joining, merging, and buying into various medical practices.
• Represented various spine surgeons and neurosurgeons in their investment in joint ventured hospitals with physician and non-physician owners.
• Structured a hospital-physician joint venture to operate an hospital outpatient department.

Optometry

• Represented a large Dallas-based optical company in its acquisition of a New York-based optical laboratory.
• Represented a private equity-backed portfolio company in its acquisition of multiple optometrist businesses across the U.S.
• Represented the U.S. operations of a global company in its strategic acquisition of multiple optical laboratory operations.

Physician

• Represented a large anesthesiology group in restructuring its professional limited liability company and buy-sell agreements, adding new members, and satisfactorily resolving issues with a departing member.
• Represented a radiology practice in unwinding an unsuccessful merger with another practice.
• Represented a large physician single specialty group in the sale of its for-profit management company to a national for-profit physician management company, involving stock transfers, stock options, convertible debt, securitization of debt, the employment of key executives, and administrative services agreements between the management company and the physician clinics.
• Represented multiple dermatology practices in their sale of assets.
• Represented numerous orthopedic surgeons, anesthesiologists, pediatricians, radiologists, and other specialists in sales of their practices and in the negotiation of their employment agreements.
• Represented numerous physicians, physician groups, and oral surgeons in joining, merging, and buying into various medical practices.
• Represented senior physician shareholders in the buy-out of their interest in a medical practice and its subsidiary management company prior to the sale of the practice and management company.
• Represented single specialty physician groups in roll-up transactions involving the sale of medical assets to another physician practice group and investment in a related management services organization.
• Represented various spine surgeons and neurosurgeons in their investment in joint ventured hospitals with physician and non-physician owners.

Private Equity

• Represented multiple borrowers in the refinancing of medical office buildings.
• Represented a for-profit company in drafting of the appropriate private placement and other offering documents for its fertility clinic joint ventures in Texas and other states, and the development of the management services, employment, billing and collection and other agreements necessary for the venture.
• Represented a private equity-backed portfolio company in its acquisition of multiple cancer centers across the U.S.
• Represented a private equity-backed portfolio company in its acquisition of multiple optometrist businesses across the U.S.
• Represented a Texas home health agency in its sale to a private equity-backed portfolio company.
• Represented a private equity-backed portfolio company in its acquisition of multiple medical oncology and radiation oncology practices across the U.S.
• Represented a private equity-backed portfolio company in its acquisition of multiple ambulatory surgery centers across the U.S.
• Represented a private equity-backed portfolio company in the acquisition of multiple occupational health clinic practices across the U.S.
• Represented single specialty physician groups in roll-up transactions involving the sale of medical assets to another physician practice group and investment in a related management services organization.

Telemedicine

• Represented telemedicine companies on numerous issues including capital raises, privacy issues, regulatory compliance (state and federal), employment issues and governance matters.

ASCs/Urgent Care

• Represented a private equity-backed portfolio company in its acquisition of multiple ambulatory surgery centers across the U.S.
• Represented an entrepreneur in obtaining Series A funding for an urgent care center; assisted with the initial capital raise as well as regulatory and corporate issues.
• Represented an urgent care facility in the acquisition of certain assets from another urgent care facility.