Healthcare

As dealmaking in the healthcare industry continues to accelerate and regulatory demands intensify, transactions increasingly require sophisticated legal counsel and strategic foresight.

Overview

With deep transactional experience and a practical understanding of the unique complexities of the healthcare regulatory environment, our team delivers the clarity, coordination and commercial judgment needed to swiftly and thoughtfully execute on a broad range of healthcare transactions and related matters.

Massumi + Consoli’s Healthcare practice advises private equity sponsors, strategic investors and other acquisitive enterprises operating at the forefront of healthcare delivery and innovation. We collaborate closely with clients seeking to capitalize on the sector’s growing investment opportunities as they navigate the evolving regulatory frameworks and compliance requirements of healthcare transactions.

 

We support clients across the full transaction lifecycle – from strategic planning and deal execution to post-closing integration, management and compliance – delivering practical guidance aligned with commercial priorities. Our team understands the pressures facing healthcare investors and operators, including shifting reimbursement models, aggressive enforcement environments and changing patient care delivery models.

 

Working seamlessly across the firm’s Private Equity, M&A, Finance, Tax, Litigation, Real Estate, Environmental and Cybersecurity & Data Privacy practices, our Healthcare team delivers business-focused counsel on acquisitions, financings, development, operations, regulatory compliance and dispositions of healthcare businesses. Our experience spans the healthcare ecosystem, including hospitals, physician practice platforms, ambulatory surgical centers, managed care plans, behavioral health providers, pharmacies, clinical laboratories, digital health companies, telehealth platforms and innovators in genetic testing.

 

Whether advising on platform formation, growth-stage investments or exit strategies, we tailor our approach to each client’s goals, risk profile and operational structure – bridging the gap between regulatory nuance and business value.

Mergers & Acquisitions

Combining our Chambersranked M&A and Private Equity capabilities with deep regulatory insight, we routinely advise on platform and add-on acquisitions, joint ventures, mergers, affiliations and other strategic combinations, as well as the sale and dispositions of healthcare businesses.

 

Our team partners with clients to navigate complex healthcare transactions, including fragmented ownership structures, jurisdiction-specific licensure regimes or healthcare transaction requirements, multi-site provider platform acquisitions, carve-outs of regulated operations and joint ventures.

 

We also advise on pre-transaction structuring and regulatory risk assessments to help clients identify potential obstacles as early as possible and design transaction strategies that are both scalable and compliant. This proactive approach supports deal certainty and minimizes execution risk.

 

Our team structures and negotiates tailored purchase and sale agreements, leads diligence across regulatory, reimbursement and compliance matters and advises on sector-specific approvals, including assistance and counsel for change of ownership and certificate of need filings.

Regulatory Compliance

With market-leading experience and deep industry knowledge, our attorneys help clients manage complex federal and state regulatory strategies while staying ahead of emerging legislative and enforcement developments.

 

We collaborate with clients to develop and implement compliance programs that mitigate risk and ensure adherence to applicable laws. Whether structuring a transaction or creating compliance strategies, we help clients identify practical, business-aligned solutions to regulatory challenges.

 

Our team regularly advises on compliance with state laws and regulations (e.g., corporate practice of medicine and fee-splitting restrictions, state Medicaid requirements and other state healthcare regulatory frameworks that often intersect with deal activity and operational strategy. We also provide guidance on federal healthcare compliance requirements, including Medicare and federal Medicaid billing rules, the Anti-Kickback Statute, Physician Self-Referral Law and healthcare privacy (i.e., HIPAA) obligations.

Finance & Restructuring

We counsel healthcare clients on a broad range of financing transactions, including acquisitions, recapitalizations and restructurings. Our team has experience structuring and negotiating financing arrangements that support the growth, integration and operation of healthcare businesses and assets.

 

We understand the nuanced capital needs of healthcare platforms—from funding de novo growth and roll-ups to navigating financial pressures tied to reimbursement shifts or operational transitions. Our experience spans sponsor-backed and lender-driven transactions across the capital stack.

 

We also advise on refinancing strategies, distressed acquisitions and other special situations involving organizations facing financial, regulatory or operational headwinds.

Tax

We deliver integrated counsel on tax-efficient structuring for healthcare transactions. We advise private equity funds and their portfolio companies, as well as other healthcare enterprises, across a broad range of corporate transactions, including mergers, acquisitions, dispositions, carve-outs, leveraged buyouts, spin-offs, debt and equity offerings, fund financing, joint ventures, growth investments, restructurings, distressed company transactions and structuring around the corporate practice of medicine.

 

Our team collaborates closely with regulatory and corporate counsel to align tax strategy with compliance in MSO models and healthcare roll-ups. We focus on practical, investor-ready solutions that optimize tax outcomes while managing risk.

 

From deal structuring to ongoing operations, we help clients navigate the complex intersection of tax and healthcare law.

Litigation & Investigations

We represent healthcare clients in a range of disputes, including contract litigation, regulatory enforcement actions and internal investigations. Combining the firm’s litigation strength with healthcare regulatory expertise, we advise on matters involving the False Claims Act, Anti-Kickback Statute, Stark Law, government audits and investigations, enforcement proceedings, managed care disputes, fraud and abuse claims and licensing issues.

 

We also support clients in responding to Civil Investigative Demands (CIDs), subpoenas and whistleblower complaints, and provide crisis response counsel to help manage reputational and business risk during government scrutiny.

Real Estate

We provide comprehensive counsel on the leasing, sale and leaseback, acquisition, development and management of healthcare-related real estate assets for for-profit and nonprofit hospital systems, medical office buildings, skilled nursing facilities, med spas, senior and assisted living facilities and physician group offices.

 

Our team stays attuned to emerging transaction structures and trends and offers guidance on compliance and regulatory issues across all real estate-related aspects of healthcare transactions.

Environmental

We counsel healthcare clients on environmental and related workplace health-and-safety compliance, permitting and risk management. Our team advises on issues that arise in the acquisition and sale, development and operation of healthcare facilities, including hazardous materials storage and handling, medical waste disposal and environmental and workplace health-and-safety due diligence.

 

We assist clients in negotiating environmental provisions in transactional documents, navigating environmental requirements under applicable laws and agreements and helping to identify and mitigate environmental risks and liabilities.

Cybersecurity & Data Privacy

We advise clients across the full spectrum of healthcare data privacy and security matters, including HIPAA compliance, security risk assessments, privacy audits and day-to-day compliance counseling.

 

We also deliver counsel to digital health and AI-enabled healthcare companies on compliance with evolving federal and state data privacy laws—including the CCPA, CPRA and state biometric laws—alongside HIPAA and HITECH obligations.

 

Our work includes the development and negotiation of technology and licensing agreements, implementation of data privacy programs and support for digital health initiatives involving big data, AI and other software and innovative analytics in healthcare.

Other Areas of Focus

DRAG