Health Care

While at a previous firm, members of our Health Care team played a key role in the healthcare regulatory aspects of a private investment firm's acquisition of a Maryland-based CCRC operator with properties across the US. Following the closing, and continuing to this day at Miles & Stockbridge, our health care team provides comprehensive legal support to the client, advising across various critical areas including healthcare regulatory compliance, privacy, employee benefits, tax, corporate law, and several other specialized fields.

Serve as outside general counsel to a nonprofit continuing care retirement community located in Baltimore, MD. Our role is to provide legal and strategic advice on a wide range of matters, including nonprofit board governance, regulatory compliance issues, arrangements with third parties, employment matters, HIPAA, and resident issues.

Serve as outside general counsel to a nonprofit CCRC advising on regulatory compliance, employment matters, resident relations, board governance, and third-party arrangements. We are currently assisting with the establishment of a new Continuing Care at Home (CCaH) program — the first in Maryland to be affiliated with a CCRC — including corporate formation, nonprofit status, and regulatory approval. In 2023, we negotiated a strategic agreement with a major medical group affiliated with a Maryland health system to establish an on-site medical clinic for residents.

Miles & Stockbridge’s Senior Living Services team was instrumental in representing underwriter HJ Sims in an approximately $473 million multi-tranche financing for the development of a rental senior living community in Irvine, California, the largest-ever single-site senior living bond issuance. The transaction involved senior municipal bonds offered publicly to accredited investors and qualified institutional buyers that were tax-exempt and federally taxable as well as two separate tranches of directly placed tax-exempt subordinate capital appreciation municipal bonds. JLL’s Capital Markets group arranged the deal for developer Harbert Bay South Partners; owner, P3 Foundation; and property manager, Momentum Senior Living. The community will include independent, assisted living and memory care units, multiple dining rooms, indoor pool and spa and therapy rooms, among other luxury amenities.

Representation of a multi-office medical-specialty practice and ambulatory care center in a part sale/part rollover with a national portfolio company of a private equity firm

Representation of a hospital system with respect to acquisition of an Accountable Care Organization.

Advice to three merged specialty practices in addressing ownership and stockholder agreement issues and the establishment and ownership of related surgery centers.

Advised a regional health care organization on possible investment in a managed care organization providing services to the Medicaid population.

Affiliation of a Montgomery County community hospital with a Maryland/D.C. based multi-hospital system.

Affiliation of a Southern Maryland community hospital with a Maryland/D.C. based multi-hospital system.

Planning in connection with a corporate structuring of a seven-hospital not-for-profit health system to streamline operations and governance.

Representation of a physician-hospital organization in connection with its dissolution and liquidation.

Formation of a physician-hospital organization, including 70 providers and a community hospital.

Completed a hospital’s acquisition of an accountable care organization (ACO) from a publicly owned company operating ACOs throughout the country.

Advice and representation in connection with a Management Services Agreement between hospital systems.

Representation of a behavioral health care provider in a corporate planning, restructuring and acquisitions.

Representation of a multi-hospital holding company system in its formation of a LLC/joint venture between the system and a regional hospital affiliate of a national health care system.

Representation of a multi-hospital system in Maryland in its establishment, financing and tax planning.

Representation of participating physicians in an independent physician-owned and controlled integrated delivery system and practice management company.

Represented fifty-percent owner in contested acquisition of Information Management Services, Inc., a leading provider of customized support to government and commercial organizations engaged in biomedical research, supervised by a court-appointed custodian in the Delaware Court of Chancery.

Restructuring of a continuing care corporate group into a holding company organization and representation of the company in its contracting with a for-profit management company.

Closed the sale of a multi-story medical office building owned by physicians and physician practices.

Closed the sale of a 183-bed non-profit nursing center in D.C., including the sale of the operating business, as well as the underlying real estate.

Sale of a not-for-profit nursing facility in Washington, D.C., to a for-profit nursing home and rehabilitation company.

The sale of an ambulatory care center to a publicly-traded national ambulatory care business.

Representation of a hospital system with respect to the sale of laboratory facilities to a national non-profit organization.

The formation and syndication of ambulatory care centers among two county hospitals and physician investors.

The formation, expansion and combination of two urban hospitals into a multi-hospital health care system.