Practice Groups Health Care Law

Health Care Transactions

Buying or selling a health care business, entering an affiliation, or restructuring your organization involves more than a standard business transaction.

In health care, a change of ownership can trigger Certificate of Need review, Medicaid and Medicare enrollment changes, licensure transfer requirements, and a range of other regulatory obligations that must be addressed before a deal can close. Getting the structure right from the beginning saves time, money, and headaches.

Meliora Law brings together health care regulatory knowledge, corporate transactional experience, and tax planning in a single team. That integrated approach means we can advise you on the regulatory implications of a deal structure while also handling the contracts, due diligence, and closing mechanics. We work with buyers, sellers, and operators across the health care sector on transactions of all sizes. In addition, we assist clients forming new health care businesses and restructuring existing operations. These matters often involve complex regulatory considerations, including licensure, enrollment, ownership restrictions, and management relationships, that must be addressed thoughtfully from the outset.

Our health care transaction services include:

Mergers, acquisitions, and affiliations

We represent buyers, sellers, and operators in transactions across the health care sector, from early structuring through closing. We handle all aspects of health care transactions and also partner with other law firms as health care regulatory counsel on their health care transactions.

New professional practice formation and startup support

We represent physicians and other licensed professionals in forming new practices, including entity formation, licensure and enrollment planning, regulatory compliance at launch, and early-stage operational guidance designed to avoid common pitfalls that can lead to audits, repayment exposure, or disciplinary issues.

Transaction structuring and tax planning

We advise on transaction structures that account for regulatory requirements, tax implications, and operational realities. We advise on transaction and ownership structures for health care businesses, physician practices, and MSO arrangements, with attention to regulatory compliance, tax implications, and operational control issues.

Regulatory due diligence and compliance review

As part of transaction due diligence, we perform targeted compliance reviews and mock audits focused on billing, documentation, supervision, and other high-risk areas commonly associated with post-closing recoupment. These services help buyers understand regulatory exposure and support informed deal structuring, pricing, and risk allocation.

Contract drafting and negotiation

We negotiate purchase agreements, affiliation agreements, and ancillary transaction documents with attention to compliance representations, indemnities, and risk allocation.

Certificate of Need (CON) and Change of Ownership (CHOW) planning and regulatory filings

We manage CHOW and CON analysis and filings to ensure licensure and enrollment transitions are addressed efficiently and accurately.

Medicaid and Medicare enrollment assistance

We assist with enrollment, revalidation, and provider number transitions necessary to support closing and post-closing operations.

Physician and clinical agreements

We draft and negotiate physician employment agreements, independent contractor arrangements, services agreements, compensation structures, and buy-in or equity arrangements, with a focus on regulatory compliance, enforceability, and alignment with real-world practice operations.

Marking up a document on a tablet
The Meliora Law boardroom, chairs drawn up to the table

Predictable options begin with a conversation.

Tell us what is in front of you. We will help you understand your options and what each one involves.