The physician practice management (PPM) and ambulatory surgery center (ASC) industries have experienced explosive growth and unprecedented consolidation and capital investment within the past 10 years, yet continue to be highly fragmented and competitive. As physicians, management companies, private equity and other investors join forces to strengthen their positions in this dynamic environment, they face reimbursement, regulatory, compliance, billing and transactional implementation issues that can cause roadblocks to their success.
We’ll expand your field of vision so you can execute your objectives.
With unparalleled experience and industry knowledge, we’re uniquely equipped to help you identify and mitigate risk, uncover new opportunities and develop winning strategies that maximize long-term value.
Our dedicated, multidisciplinary team has helped shape the ASC and PPM industries over the past three decades and offers clients practical and operational approaches to addressing their unique legal, transactional and regulatory needs. We provide clients with innovative, business-oriented legal solutions tailored to their competitive and operational challenges, such as syndicating start-ups, transactions with management companies and health systems, and joint venture arrangements.
Transactions within the ASC/PPM sectors involve complex legal, regulatory and compliance issues and are closely watched by state regulators and payors to ensure that patient care remains guided by professional judgment, not profit motivations. Our cross-functional legal team has a deep understanding of local and regional issues and licensing requirements, strong relationships with regulatory authorities and extensive experience in all regulatory aspects of the PPM/ASC industries, from structuring transactions and antitrust enforcement, to reimbursement rules and managed care contracting. We even provide lobbying assistance to national and state-based associations dedicated to the PPM/ASC industries through our office in Washington, DC.
We also host an annual ASC/PPM Symposium, considered the premier national conference addressing the industry’s key business, transactional and regulatory issues, attended each year by hundreds of executives and decision makers from across the United States.
A physician-owned ASC on the sale of a majority of its equity to a joint venture owned by a major regional hospital system and a national ASC management company
Campus Surgery Center LP and Waverley Surgery Center LP in their conversions to LLCs and sales of controlling equity interests
Halifax Health in the sale of an ASC and the development of a co-management component of an outpatient service line
Tenet Healthcare with the acquisition of several ASCs throughout the southern United States
Steward Health Care System on a range of affiliations, purchases and other transactions, including the purchase of the assets and operations related to Hawthorn Medical Associates’ ASC, sleep center and cancer center
A specialty orthopedic hospital on the regulatory aspects of developing an ambulatory surgery joint venture with a group of regional physicians.
A Catholic health system with obtaining a Certificate of Need permit for an endoscopy ambulatory surgery center