Overview

Maynard Nexsen has extensive experience representing and advising Physician Practice Groups and hospitals/health systems across the United States in integration transactions and related ventures and combinations designed to improve the quality and delivery of health care services to patients in their local communities. Such representation includes negotiation and documentation of integrations structured in a variety of different forms, including asset purchases, stock/equity purchases, asset transfers and redemptions, professional services arrangements (PSAs), leasing and similar integration arrangements, clinical co-management arrangements with respect to hospital service lines, arrangements among different specialties involved in multi-specialty practices, long-term physician employment agreements and governance charters, bylaws, operating agreements and related agreements. Our vast experience in these matters by virtue of representing physician practices and hospitals in more than 100 transactions located in more than 35 states across the country makes our professionals uniquely qualified to negotiate and consummate transactions that are designed to achieve our clients’ individually identified goals and objectives, while at the same time ensuring that the structure and terms of the clients’ specific transaction are consistent with the standards applicable to the heavily regulated and constantly evolving health care industry in which they work and live.
Representative Transactions:
  • Represented W.A. Foote Memorial Hospital d/b/a Allegiance Health in connection with its acquisition of and integration with Trinity Health-Michigan d/b/a Saint Joseph Mercy Health System and the employed physicians formerly associated with Michigan Heart, P.C. and practicing in Jackson, Michigan
  • Represented Our Lady of Lourdes Medical Center and its affiliates in Camden, New Jersey in connection with its acquisition of and integration with Associated Cardiovascular Associates, P.A. and its physicians
  • Represented Cardiovascular Associates of North Alabama, P.C. and its physicians in the integration of their practice with an affiliate of Brookwood Medical Center (a Tenet Hospital located in Birmingham, Alabama)
  • Represented Cardiovascular Associates, S.C. of suburban Chicago, Illinois and its cardiologists in the integration of their practice with Alexian Brothers Health Network and its affiliates
  • Represented Hickory Cardiology Associates, PLLC d/b/a Western Piedmont Heart Centers of Hickory, North Carolina and its cardiologists in the integration of their practice with and into Frye Regional Medical Center, Inc. (a Tenet Hospital)
  • Representation of Prairie Cardiovascular Consultants, Ltd. of Springfield, Illinois and its physicians in connection with the integration of Prairie Cardiovascular with and into, Hospital Sisters Health System
  • Representation of Grand Rapids, Michigan based West Michigan Heart, P.C. and its physicians in connection with the integration of West Michigan Heart with and into, Spectrum Health System
  • Representation of Iowa Heart Center, P.C. of Des Moines, Iowa in connection with the integration of its practice with and into, Mercy Medical Center, an affiliate of Catholic Health Initiatives
  • Representation of Thoracic and Cardiovascular Institute, P.C. (”TCI”) of Lansing, Michigan in connection with the integration of its practice with and into Edward W. Sparrow Hospital Association
  • Representation of Kingsport, Tennessee based Cardiovascular Associates, P.C. and its physicians in connection with the integration of CVA with and into Wellmont Health System
  • Represented Heart and Vascular Clinic of Northern Colorado d/b/a Heart Center of the Rockies of Fort Collins, Colorado and its physicians in connection with the integration of its practice with and into Poudre Valley Health System
  • Represented HeartCare of Southern Arizona, P.C. d/b/a Desert Cardiology of Tucson of Tucson, Arizona and its physicians in connection with the integration of its practice with and into an affiliate of CHS/Community Health Systems, Inc.
  • Represented West Suburban Cardiologists, Ltd. d/b/a Illinois Heart & Vascular of the greater Chicago area and its cardiologists in connection with the integration of their practice with and into an affiliate of Adventist Health System
  • Represented Cardiology Associates of Waterbury, P.C. of Waterbury, Connecticut and its cardiologists in connection with the integration of their practice with and into an affiliate of The Waterbury Hospital
  • Represented Consultants in Cardiology, P.A. of Fort Worth, Texas and its cardiologists in connection with the integration of their practice with and into an affiliate of Texas Health Resources
  • Represented Appleton Cardiology Associates, P.C. of Appleton, Wisconsin and its physicians in connection with the integration of their practice with and into ThedaCare, Inc.
  • Represented Cardiovascular Associates, P.S.C. of Louisville, Kentucky and its cardiologists in connection with the integration of their practice with and into an affiliate of Norton Healthcare, Inc.
  • Represented Eastside Cardiology Associates, P.C. of Kirkland Washington and its cardiologists in connection with the integration of their practice with and into King County Public Hospital District No. 2 d/b/a Evergreen Healthcare
  • Represented Louisiana Cardiology Associates, L.L.C. of Baton Rouge, Louisiana and its cardiologists in connection with the integration of their practice with and into an affiliate of Our Lady of the Lake Regional Medical Center
  • Represented The Stern Cardiovascular Center, P.A. of Memphis, Tennessee and its cardiologists in connection with the integration of their practice with and into an affiliate of Baptist Memorial Health Care Corporation
  • Represented Regional Medical Center in Anniston, Alabama, in connection with its acquisition of and integration with Anniston Urologic Associates, P.C. and its physicians
  • Represented Taconic Orthopaedics, P.C. and its physicians in connection with the integration of their practice with and into Southwestern Vermont Medical Center
  • Represented Gastrointestinal Specialists, P.C. and its physicians, located in Memphis, Tennessee, in connection with the integration of their practice, including a wholly owned Ambulatory Surgery Center, with and into an affiliate of Baptist Memorial Health Care Corporation
  • Represented Albany Associates in Cardiology, a division of Prime Care Physicians, a large multi-specialty practice located in Albany, New York, in connection with the integration of its practice with and into an affiliate of St. Peter’s Health Partners
  • Represented Louisiana Medical Center and Heart Hospital and its wholly owned physician clinic in connection with the acquisition and integration of various primary care and specialist physicians
  • Represented Capital Region Urology and its physicians, located in Albany, New York, in connection with the integration of its practice with and into an affiliate of St. Peter's Health Partners
  • Represented Elmhurst Memorial Hospital in connection with the development of an orthopedic service line management agreement
  • Represented McLaren Hospital in connection with the development of a cardiology and orthopedic service line co-management agreement
  • Represented orthopedic specialists in Appleton, Wisconsin, in connection with the integration of its practice with and into ThedaCare, Inc.

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