The regulatory aspects of the health care industry and the changing needs of patients often call for strategic relationships among providers. These relationships may take the form of a partnership, joint venture, other co-owned entity, management agreement, operating lease or other arrangement. These relationships often involve vertical or horizontal integration of providers with different specialties, facilities and expertise. The relationships are structured to take into account reimbursement issues, tax-exemption issues, regulatory issues including licensure, certificate of need, anti-kickback and physician self-referral and capital sourcing. The Team finds compliant solutions based on the parties’ business objectives.

Some representative strategic affiliations and joint ventures include:

• Joint ventures between a NASDAQ national home infusion company and various academic medical centers and non-profit hospitals.
• Management agreements between the acquirer and target of a home infusion business for the period between signing and closing of the acquisition.