Health Care Transactions

We leverage our broad transactional experience and deep industry knowledge to help our clients overcome the challenges involved in health care transactions.

Stay connected to legal developments in health care M&A and other health care law topics and events by signing up for our Health Law Alert.

Our Approach

Increased demand for cost effective health care continues to drive consolidation in the industry. We deliver innovative solutions, add value and close the deal.

Whether it takes the form of a merger, acquisition, joint venture or other similar transaction, our multidisciplinary resources clear the regulatory hurdles, including corporate practice of medicine prohibitions, Medicare and Medicaid issues, HIPAA, Stark Laws and anti-kickback compliance.

Mergers & Acquisitions

We represent clients on all sides of health care M&A transactions, often working beyond the terms of the actual acquisition and post-closing matters. We solve general labor and employment issues; develop plans for hiring and retaining employees; create compensation plans; and review anti-kickback and self-referral issues, employee handbooks and policies.

Joint Ventures

We develop structures to ensure flexibility and independence for health care providers who participate in joint ventures. We focus on all health-related business transactions, including hospital/physician joint ventures, establishment of retail health clinics and medi-spas and development and structuring of ancillary service providers, such as ambulatory surgery centers (ASCs).

Physician Transactions/Physician Practice Management (PPM) Companies

We advise physicians on the formation and operation of professional practice groups, independent practice associations (IPAs), physician/hospital organizations (PHOs) and management service organizations (MSOs). We also negotiate and enforce contracts with managed care organizations and PPM companies.

Private Equity & Investment Funds

We minimize risk and maximize potential for investments in health care and related industries. We fully represent middle-market institutional investors as well as private equity funds and their portfolio companies.


We address the tax issues that arise in health care businesses, from the day-to-day operation to transactions, including tax-free reorganizations, spin-offs, acquisitions and dispositions, installment, sales, recapitalizations, joint ventures and international transactions.


We regularly prepare and handle filings under Hart-Scott-Rodino laws to avoid litigation and governmental challenge of transactions and successfully represent a number of provider networks under FTC investigations.


We create effective debt restructuring and workout plans that address the specific needs, history and role in the community of health care entities considering reorganization or seeking to maximize value and reduce exposure in a bankruptcy case.

We work with

  • Ambulatory surgery centers
  • Assisted living facilities
  • Billing companies
  • Dialysis companies
  • Durable medical equipment manufacturers
  • Health plans
  • Health systems
  • Home health care companies
  • Imaging companies
  • Management service organizations
  • Medi-spas
  • Nonprofit and for-profit hospital organizations
  • Nursing homes
  • Pharmacies
  • Physician practices
  • Physician practice management companies
  • Private equity firms
  • Publicly traded corporations
  • Retail health clinics
  • RHIOs

Health system consolidation may be holding down healthcare employee wages

Modern Healthcare | April 04, 2019

Providence Health Care partner Chris Browning is quoted in this article analyzing the wages of health care providers amid the increasing number of mergers and acquisitions.

Commercial ventures present opportunities and risks for health systems

Modern Healthcare | March 02, 2019

Long Island Affordable Housing and Real Estate Partner Ed Puerta is quoted in this article discussing the trend of hospitals using creative acquisition strategies to increase their patient base.

$4.8B Akorn ruling more outlier than shift at Chancery

Law360 | October 14, 2018

In the following coverage, Rochester Corporate partner Lori Green, Complex Commercial Disputes partners Rick McGuirk and Carolyn Nussbaum, and New York City Complex Commercial Disputes partner Chris Mason analyze a key ruling by the Delaware Chancery Court that affirmed the existence of a material adverse event allowing German pharmaceutical company Fresenius to back down from a merger with Akorn, Inc.

M&A Drives Health Systems' EHR Consolidation

Modern Healthcare | April 02, 2018

Providence health care partner Chris Browning is quoted in this article on the advantages for hospitals that move to a single shared electronic health records platform.

Nursing shortage will continue to pinch hospital margins

Modern Healthcare | March 06, 2018

Chicago public finance partner Tom Fahey provides commentary in this article about the financial strain on hospital systems caused by the ongoing nursing shortage.

New York health officials OK first cross-state hospital merger

Buffalo Business First | November 15, 2017

The following coverage mentions Albany health care partner Peter Millock for his representation in a proposed first-ever interstate hospital merger in New York State.

Panel advances first cross-state hospital merger

Politico | November 15, 2017

The following coverage mentions Albany health care partner Peter Millock for his representation in a proposed first-ever interstate hospital merger in New York State.

Academic medical center M&A may compromise research focus

Modern Healthcare | October 10, 2017

Long Island health care partner Lindsay Maleson provides commentary in this article about how research is affected when academic medical centers merge with larger nonacademic health care providers.

Not-for-profit providers' rising expenses, dwindling revenue could spur mergers

Modern Healthcare | August 21, 2017

Chicago health care partner Valerie Breslin Montague is quoted in this article about how many not-for-profit health care providers are joining larger health care systems as a result of rising costs to operate as independent hospitals.

Adhering to Board duties in an affiliation transaction

Trustee | June 29, 2017

Chicago public finance partner Thomas Fahey authored this column about how nonprofit community hospital board members should consider duty of care and duty of loyalty to guide decisions regarding joining larger health systems.

Thomas H. Lee invests in Professional Physical Therapy

The Deal | December 19, 2016

This article is about private equity firm Thomas H. Lee Partners LP ‘s recent investment in Professional Physical Therapy, a provider of physical therapy and rehabilitation services. Long Island health care partner Michele Masucci and associate JoAnna Nicholson are noted as representing Professional Physical Therapy.


Michael J. Taubin


Phone: 516-832-7521

Michele A. Masucci


Phone: 516-832-7573

Stephen D. Zubiago

Department Head, Business & Finance

Phone: 401-454-1017

  • Ranked nationally for Health Care in Chambers USA: America’s Leading Lawyers for Business 2018, as well as in Illinois, Massachusetts and New York
  • U.S. News/Best Lawyers has named Nixon Peabody “Law Firm of the Year” in Health Care Law in 2016
  • Ranked nationally in U.S. News/Best Lawyers 2019 “Best Law Firms” in Health Care Law, and received metropolitan rankings in Health Care Law in Albany, Chicago, Long Island, Los Angeles, New York City and Rhode Island
  • Ranked in Illinois, Massachusetts and New York for Health Care in Chambers USA: America’s Leading Lawyers for Business
  • Ranked nationally by Modern Healthcare—Largest Healthcare Law Firm
  • Recognized lawyers by Best Lawyers in America in the field of Health Care law
  • Recognized lawyers by Super Lawyers in the area of Health Care law
  • Recognized by the American Bar Association’s Health Law Section in its Annual Regional Law Firm Recognition Program
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