Selling or buying a physician practice
Overview
Physician practice transactions move through the densest regulatory environment in healthcare. Stark Law, Anti-Kickback Statute, HIPAA, the Florida Patient Brokering Act, payor credentialing, and ancillary-service rules all touch the deal structure. We handle the documentation and the diligence with that complexity in mind, structuring transactions to fit within applicable safe harbors and exceptions.
What we handle
- LOIs and MOUs
- Asset purchase, stock, and membership-interest transactions
- Stark and Anti-Kickback structural review
- HIPAA and patient-record transfer documentation
- Payor credentialing transitions
- Associate physician employment, restrictive-covenant, and call-coverage agreements
Common pitfalls we plan around
- Compensation arrangements that look like they reward referral volume
- Ancillary-service ownership structures that fail Stark scrutiny
- Patient-record transfer that mishandles HIPAA’s specific consent and notice requirements
Our Process
How Can Our Team Help You to Reach Your Goals
01
Pre-LOI (3–6 weeks)
Stark, Anti-Kickback, and CPOM structural review. Payor credentialing inventory. Ancillary-service relationships mapped.
02
LOI (2–3 weeks)
LOI captures structure that fits within Stark exceptions and Anti-Kickback safe harbors. Compensation and ancillary-service language tightly drawn.
03
Due Diligence (6–10 weeks)
Most diligence-intensive of the verticals. Compensation arrangements, ancillary-service ownership, HIPAA-protocol review, malpractice tail, prior settlement and disciplinary review, payor-credentialing detail.
04
Definitive Agreement (4–6 weeks)
APA drafted to fit applicable safe harbors and exceptions. Employment-physician agreements drafted with compliant compensation structures. Tail-malpractice coverage and indemnification scope tied to medical-malpractice risk.
05
Closing (1 day, sometimes 2)
Closing funds wire, license transfers, malpractice-coverage transitions, payor credentialing handoff.
06
Post-Closing (6–24+ months)
Payor re-credentialing for the buyer, clinical transition (often longest among verticals due to physician-patient continuity), earn-out monitoring.