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HEALTH CARE MERGERS & ACQUISITIONS

Our practice is positioned to provide counsel for health care transactions. We have extensive experience in negotiating, documenting, and implementing merger, asset acquisition, membership interest/stock acquisition, joint venture, religious sponsorship, and affiliation transactions for nonprofit and for-profit clients.

We counsel clients through the transaction process, from the initial analysis of the legal alternatives available for the transaction’s structure and the development of a strategic transaction plan to the negotiation and documentation of the transaction. We assist our clients in seeking and obtaining necessary internal and external approvals, federal and state regulatory approvals, state attorney general approvals, health facility licenses, permits, registrations, and Medicare and Medicaid certifications.

To address our client needs, we have experience in the following areas related to health care partnerships, mergers, and acquisitions:

  • Coordination with senior management and board members on M&A process and alignment of transaction with organizational strategic objectives
  • Development of transaction options, from membership substitutions to joint venture arrangements, to accommodate identified needs and meet organizational goals
  • Understanding of complex transactional matters related to governmental approvals, health care licensing, and post-acquisition protections in a highly regulated environment
  • Commitment to efficient and process-oriented due diligence and review
  • Ability to develop merger and acquisition proposals tailored to specific transactions and unique circumstances

We also provide comprehensive analysis of the tax implications for both taxable and tax-exempt clients in various transactions and business relationships. We have substantial experience in seeking and obtaining state attorney general approval of proposed transactions on behalf of our clients and a comprehensive understanding of the unique issues facing tax-exempt organizations desiring to restructure in a time of increased state oversight of nonprofit organizations.

The attorneys in our Public Finance and Public Law practice area regularly act as bond counsel, disclosure counsel, issuer’s counsel, borrower’s counsel, and credit enhancer’s counsel in transactions for public and private hospitals, senior living facilities, and other health care providers to finance hospital construction, renovation, and other health facility improvements. Their experience is often beneficial for addressing refinancing obligations attendant to acquisition activities.

Blog Posts

OIG Publishes New “Featured Topic” on Managed Care Oversight

Welcome to Digital Health Dispatch

Subjective Intent in False Claims Act: Navigating Ambiguity in Health Care Reimbursement Claims

Illinois Passes Legislation Requiring Attorney General Notice of Certain Health Care Transactions

New OIG toolkit: Analyzing Telehealth Claims for Program Integrity Risks

DOJ’s evolving ‘carrot and stick’ approach to increasing health care fraud corporate compliance

New USAO policy for voluntary self-disclosure in corporate criminal enforcement actions provides greater predictability for health care organizations facing potential fraud or other misconduct

FTC issues fine to GoodRx over information sharing

DOJ withdraws three long-standing antitrust policy statements, leaving health care organizations in limbo

Diagnosing a proposal to eliminate non-competes: Five ways it impacts the health care industry

Publications

Illinois legislature makes substantial limiting changes to state law on non-compete and non-solicitation agreements

You just received a grand jury subpoena. Now what?

EEOC issues new guidance on COVID-19 vaccinations in the workplace

What can recent FCA decisions tell us about the Seventh Circuit pleading standard for health care billing fraud claims?

Missouri legislature passes new protections for businesses from COVID-19 suits

The NCAA Implements a Four Corners Offense As it Postpones NIL Rule Changes

OSHA issues new guidance on face coverings in light of COVID-19

Federal agencies announce expedited antitrust procedures for COVID-19 public health efforts

Seven things employers should know about Medicare for All

Surprise billing legislation: What employers need to know

When should you terminate a defined benefit plan? Four influential factors

Bifurcated trials: A road map for better results for insurers facing non-ERISA disability claims

5 takeaways from the employee ERISA win in McMillan

In California, when is a ‘worker’ considered an ‘employee’?

Criminal antitrust prosecutions still loom for employers with ‘no-poaching,’ ‘wage-fixing’ agreements

Supreme Court clarifies definition of ‘church plan’ under ERISA

Grant and cooperative-agreement recipients: Are your procurement standards compliant yet?

21st Century Cures Act overrules IRS guidance on HRAs, enhances enforcement of Mental Health Parity Act

5 tips for environmental due diligence in business transactions

Recent guidance issued on mental health parity and tobacco cessation programs

Missouri to join Right to Work ranks: Is the fight over or just warming up?

EEOC issues guidance on new wellness notice mandated for 2017

Are HR employees ‘investment advisors’ under the DOL’s fiduciary rule?

Did you consider the COBRA implications of your severance arrangement?

Key considerations for representation and warranty insurance

New Illinois law prohibits non-competition agreements with low-wage employees

IRS releases updated safe harbors for management contracts in tax-exempt bond-financed projects

New OSHA reporting and anti-retaliation rules

IRS releases final forms for Health Care Reform reporting

Two key legislative developments impact wellness plans, non-qualified deferred compensation plans

U.S. Supreme Court strikes down DOMA: What it means for plan sponsors

TCLE

Better Together? Competition, Price Gouging and Other Antitrust Issues Raised by the COVID-19 Pandemic

Ethics and Cybersecurity

Overtime Law 2016 – Expanded New Rule: What It Means for You

News

Claire Schenk Elected Chair of the Board of Casa de Salud

Suzanne Galvin Quoted in Bloomberg Law Regarding Revised PFAS Settlement

Jen Pike on Upcoming HIPAA Changes

Evan Goldfarb Named a 2023 Women, Influence and Power in Law Award Winner

Provident Behavioral Health Makes Strategic Decision to Acquire Assets from Care and Counseling

Chambers USA Recognizes Thompson Coburn Practices for Excellence in 2023 Guide

Mackenzie Wallace discusses the latest trends and challenges facing today's health care market on AHLA podcast

Health care attorney Bryan Gray Looney joins Thompson Coburn

Thompson Coburn attorneys recognized in 2022 Chambers USA

Thompson Coburn presents ‘The Wraparound’ at the 2022 CLOC Global Institute

Health care litigators recoup significant insurance payments for Vibra Healthcare, other providers in 2021

Thompson Coburn is Texas proud after first year in Dallas

Health care litigator Mackenzie Wallace joins Thompson Coburn in Dallas

Thompson Coburn client Charles Rice wins 2020 Nobel Prize for Hepatitis C Virus discoveries

Nicole Jobe named a 2020 Missouri Up & Coming Lawyer

Congratulations to our 14 ‘Lawyers of the Year’ for 2020

Claire Schenk imparts life (and rock climbing) advice in UMSL commencement speech

Tonya Oliver Rose rejoins Thompson Coburn’s health care practice

Congratulations to our 14 'Lawyers of the Year' for 2018

Evan Goldfarb named a 2017 Women’s Justice Award winner

Thompson Coburn named among top 30 law firms for client service

St. Louis Business Journal honors Thompson Coburn for outstanding wellness initiatives

A merger story: Tom Minogue and Jack Musgrave discuss 20 years as Thompson Coburn

Claire Schenk to moderate Missouri Bar Health and Hospital Administration panel presentation

Thompson Coburn earns corporate counsel recommendations five years running in national report

Thompson Coburn earns eight national top-tier rankings in U.S. News ‘Best Law Firms’ survey

Thompson Coburn represents issuer in 2014 Health Care Deal of the Year

Claire Schenk to speak at 10th Annual ABA National Institute on False Claims Act

Thompson Coburn secures Illinois appellate victory for community hospital

Missouri Supreme Court sides with Mercy Hospital St. Louis in class action over billing practices

Jan Paul Miller quoted in St. Louis Business Journal on Glaxo health care fraud settlement

Thompson Coburn handled The Bond Buyer’s 2011 Health Care Deal of the Year

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