Joshua (Jed) E. Spielman has a national practice focused on the business aspects of health care law with an emphasis on mergers and acquisitions, joint ventures and contractual arrangements. Jed serves principally as counsel to private equity funds, public and private corporations, hospitals, physician practices and strategic investors in connection with a wide range of transactional, corporate, regulatory and governance matters.
Jed has devoted much of his practice to private equity transactions, including acquisitions, divestitures, growth capital investments, joint ventures, debt and equity financings, corporate restructurings and similar commercial dealings. He has also assisted clients in the development of financial arrangements and transaction structures designed to comply with federal and state health care laws, joint ventures and affiliations between health care providers, state licensure and issues related to Medicare and commercial reimbursement.
Represented Vitreo-Retinal Medical Group, Inc. (d/b/a Retinal Consultants Medical Group), Northern California’s premier eye and retinal physician-care practice, in its affiliation with Webster Equity Partners and the formation of Retinal Consultants of America, a practice management organization serving retina providers throughout the United States.
Team Health Holdings, Inc. (NYSE: TMH), a leading national provider of outsourced physician staffing services, in a variety of transactional matters, including:
Acquisition of Premier Physician Services, Inc., a leading provider of emergency department, hospital medicine, correctional care and occupational medicine management and staffing services for health care facilities operating in seven states across the Midwestern United States
Acquisition of Emergency Medicine Specialists and its affiliated revenue cycle management and back-office support company, Midwest Emergency Services, which together provide management and staffing for emergency departments caring for approximately 400,000 patients annually
Acquisition of Florida Gulf-to-Bay Anesthesiology Associates, a Tampa, Florida-based provider of anesthesia management and staffing services for eight hospitals and 11 ambulatory surgery centers, managing approximately 160,000 cases annually
Acquisition of Professional Anesthesia Service, Inc., an Akron, Ohio-based provider of anesthesia services whose physicians and certified registered nurse anesthetists (CRNAs) manage approximately 50,000 annual anesthesia cases
Acquisition of Certified Anesthesia Services, whose physicians and CRNAs manage approximately 28,000 cases annually through anesthesia management services for hospitals and ambulatory surgery centers (ASCs) in Washington, DC, and Maryland
Acquisition of Heartland Anesthesia Services, whose physicians and certified registered ensure anesthetists manage more than 10,000 cases annually through anesthesia management services
Harvest Partners, LP, a New York-based private equity firm, as health care transactional counsel in connection with a variety of matters, including:
Acquisition of Athletico Physical Therapy, a Chicago, Illinois-based physical therapy provider, and subsequent add-on acquisition of Accelerated Rehabilitation Centers, creating one of the largest physical therapy providers in the Midwest with more than 330 locations in eight states
Acquisition of AxelaCare Holdings, Inc., a full-service home infusion therapy provider, and subsequent add-on acquisitions of SCP Specialty Infusion, Advanced Care of New York, and Ambient Healthcare, creating one of the largest home infusion therapy providers in the United States
Recapitalization of VetCor Group Holdings Corp., a leading national operator of veterinary hospitals, managing 137 veterinary hospitals across 19 states
Harvest Partners as regulatory counsel in connection with its recapitalization and majority stake acquisition of EyeCare Services Partners, the nation’s largest vertically integrated ophthalmologic services platform supporting 46 ophthalmology and optometry practices and seven ambulatory surgery centers across five states
MTS Health Investors, LLC, a leading health care-focused private equity firm, in a variety of transactional matters, including:
Sale of Loving Care Agency, Inc., a leading provider of skilled nursing and therapy services to pediatric patients across seven states, to Epic Health Services, a portfolio company of Webster Capital
Equity investment in Ovagen Fertility, a platform of industry-leading assistive reproductive technology laboratories in four states performing treatment and testing for infertility patients
Sale of Novis Pharmaceuticals, a leading distributor of biotherapeutic products, to a national health care services company
Thomas H. Lee Partners, LP, as health care transactional counsel in the acquisition of Curo Health Services, LLC, a national provider of hospice care operating in 19 states
Sagard Capital Partners, LP, and its portfolio company, IntegraMed Fertility, a national provider of fertility practice management services, in a variety of transactional matters, including:
Acquisition of Sher Institute for Reproductive Medicine, one of the largest networks of infertility clinic practices in the United States, with eight full-service reproductive fertility centers spanning six states
Acquisition of Arizona Associates for Reproductive Health,a leading provider of infertility services in the Southwestern United States
The Comvest Group, a Florida-based private investment firm, in the acquisition of Urgent Cares of America, Inc., and its affiliates (subsequently rebranded as FastMed Urgent Care), as well as subsequent add-on acquisitions and partnership with Blue Cross Blue Shield of North Carolina
St. Joseph’s Regional Medical Center in its development of a foundation cardiology practice and cardiac services program
Miami Children’s Hospital in its formation and syndication of an ambulatory surgery center specializing in pediatric surgery
Physician Associates, LLC, one of the largest multi-specialty physician practices in South Florida, in its sale to Orlando Health
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