Healthcare Private Equity
Joshua represents a number of private equity sponsors in
their healthcare acquisitions and divestitures, and the
on-going representation of their healthcare portfolio
companies, having developed a niche in addressing
healthcare driven transaction structure issues as well
as healthcare regulatory due diligence issues. On the
acquisition side, his work has been geared toward
leveraged buyouts and has included multiple leveraged
buyouts of national and regional ambulatory surgical
center companies, multi-site imaging center businesses
and home healthcare companies. He has advised private
equity clients in their acquisitions and worked closely
with their due diligence teams to quickly identify
healthcare regulatory issues ranging from healthcare
fraud and abuse concerns, Medicare billing issues and
federal and state licensure issues.
Ambulatory Surgical Centers
Joshua represents national and regional ASC management
companies, independent ASCs and individual physician
investors with all of their transactional, regulatory
and litigation needs. His national experience includes
ASC transactions in California, Colorado, Florida,
Georgia, Idaho, Kansas, Kentucky, Louisiana,
Massachusetts, Maryland, Michigan, North Dakota, New
Jersey, New York, North Carolina, Texas and other
states. His experience includes syndicating startup
ASCs, selling and redeeming physician equity interests,
squeeze-out mergers, buying and selling equity stakes in
ASCs on behalf of, or to, large private-equity funded
and publicly traded corporate buyers, revising governing
documents and developing business models to facilitate
an ASC’s capture of ancillary revenue streams,
including diagnostic imaging, anesthesia and pathology
services.
Hospitals and Health Systems
Joshua represents hospitals and health systems in a wide
array of healthcare transactional and regulatory matters
with a particular focus on developing innovative
business models involving hospital/physician joint
ventures or contractual arrangements.
Diagnostic Imaging and Ancillary Services
Joshua represents hospitals and health systems,
independent diagnostic testing facilities and group
practices in connection with their diagnostic imaging
transactions and regulatory issues. He has been
instrumental in the development and refining of cutting
edge business models related to the delivery of such
services, including developing quality and efficiency
measured productivity arrangements, shared-ancillary
arrangements, and ancillary-only management business
models that have permitted health systems, group
practices and imaging centers to collaborate in the
delivery of various diagnostic imaging modalities and
ancillary services (such as PET, CT, MRI, ultrasound,
greenlight, lithotripsy, radiation therapy, cyber-knife,
nuclear camera, clinical lab, pathology, physical
therapy and dispensing prescriptions).
Concierge Medicine
Joshua was part of the team that developed the
healthcare business model for the largest concierge
medical practice in the United States. He advises
medical practices on transitioning to a concierge
practice as well as with the ongoing transactional and
regulatory issues of the concierge practice.
Medical Groups and Physicians
Joshua represents numerous medical groups in all of
their transactional and regulatory needs, including the
development of super groups to capture ancillary
revenues and working with clients to satisfy their
physician compensation goals in a manner that is
compliant with the Stark Law and other healthcare
regulations. Joshua also assists medical groups and
physicians with employment agreements, enforceability of
non-compete provisions, professional service agreements,
administrative service agreements, governing documents
and a range of other transactional and regulatory
matters.
Urgent Care, Physician and Dental Practice Management
and Healthcare Consultants
Joshua represents a number of urgent care companies,
physician and dental practice management companies and
other healthcare provider consulting companies in
developing their business models from a transactional
and healthcare regulatory perspective. His clients
include multiple private equity funded urgent care
companies and physician and dental practice management
companies in assisting them with all of their healthcare
transactional and regulatory matters.
Durable Medical Equipment
Joshua has substantial experience in the durable medical
equipment and incontinence healthcare industry, having
represented several clients in all of their
transactional and regulatory matters relating to the
delivery of home care products vis-à-vis the
Internet, agency agreements, marketing initiatives and
other matters.
Healthcare Regulatory
Joshua has represented clients investigated by various
federal and state agencies, including the Centers for
Medicare and Medicaid Services, the Department of Health
and Human Services Office of Inspector General, the
Florida Agency for HealthCare Administration, the
Florida Board of Medicine and the Office of the Attorney
General of the State of Florida.
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