Healthcare Acquisition Attorney

By Managing Partner Last updated

Healthcare M&A Legal Services representation for buyers, sellers, and operators nationwide. One experienced attorney on every deal.

Alex Lubyansky leads every healthcare m&a legal services engagement, from initial structuring through closing.

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A healthcare acquisition attorney handles the regulatory and transactional work specific to buying or selling a healthcare business: Certificate of Need review, Corporate Practice of Medicine compliance and MSO structuring, payor contract transfer, Medicare and Medicaid change of ownership filings, and Stark Law and Anti-Kickback Statute diligence. The work applies to physician groups, hospital systems, ASCs, and behavioral health and home health operators. Acquisition Stars represents healthcare buyers and sellers nationwide through this regulatory layer.

Why a Healthcare Acquisition Attorney Matters

Healthcare transactions carry regulatory requirements, CPOM restrictions on non-clinical ownership, Stark Law and Anti-Kickback Statute exposure, payor recredentialing timelines, that do not apply to an ordinary business sale and that can delay or unwind a deal if missed. A healthcare acquisition attorney who works these issues regularly can help structure the deal to satisfy them from the outset, rather than discovering a CPOM or licensure problem during diligence when the closing date is already set. Missing one of these requirements early is often far more expensive to fix later than it would have been to structure around from the start.

What We Do

  • Certificate of Need (CON) review and state health agency approvals
  • Corporate Practice of Medicine (CPOM) compliance and MSO structuring
  • Payor contract transfer, assignment, and recredentialing coordination
  • Medicare and Medicaid provider number transfers and change of ownership (CHOW) filings
  • Stark Law and Anti-Kickback Statute (AKS) regulatory diligence
  • Practice valuation review, working capital mechanics, and earnout structures tied to clinical performance
  • HIPAA, data privacy, and EHR transition diligence
  • State AG review, nonprofit conversion approvals, and attorney general notifications

Who We Serve

  • Physician groups merging, selling, or rolling up into a platform
  • Hospital systems executing service line acquisitions or divestitures
  • Ambulatory surgery centers (ASCs) acquiring or being acquired
  • Behavioral health and addiction treatment operators consolidating
  • Home health, hospice, and DME agencies navigating licensure transfers
  • Private equity healthcare platforms executing add-on acquisitions
Alex Lubyansky, Managing Partner at Acquisition Stars
"The hardest part of any healthcare m&a legal services engagement is not the documents. It is reading the relationship across the table early enough to structure around it. By the time the purchase agreement is on the table, half the meaningful negotiating leverage is already gone."
Alex Lubyansky, Managing Partner On healthcare m&a legal services structuring

15+ years of M&A and securities transaction experience Senior counsel on every engagement Admitted in Michigan, practicing nationwide

Reviewed by Alex Lubyansky on . Read full bio

Questions to Ask Any M&A Attorney Before Hiring

Use these before you call any firm, including ours.

1. "Who will actually handle my transaction?"

At many firms, a partner sells the work and a junior associate does it. Ask for the name of the attorney who will draft and negotiate your documents.

2. "How many M&A transactions has the lead attorney closed in the past 12 months?"

Volume indicates current, active deal experience, not just credentials from years ago.

3. "What is your experience with my deal size and industry?"

A $500K SBA acquisition and a $50M PE deal require different skill sets. Make sure the attorney has handled transactions similar to yours.

4. "Will you coordinate with my CPA, financial advisor, and broker?"

M&A transactions require a team. Your attorney should work with your other advisors, not in a silo.

5. "How do you handle post-closing disputes?"

Reps, warranties, and indemnification claims surface months after closing. Ask whether the firm handles post-closing litigation or refers it out.

6. "What is your fee structure, and what drives cost?"

Ask how the engagement is scoped, what is included, and what factors drive cost increases. Defined scope with a retainer gives the clearest cost picture.

Buying a licensed behavioral health practice, such as an IOP, PHP, residential SUD treatment program, ABA therapy provider, or MAT clinic, carries state licensure change-of-ownership issues on top of the CON, CPOM, and payor diligence above. See our guide to buying a behavioral health practice for the license transfer mechanics.

Healthcare Acquisition Attorney: Frequently Asked Questions

What does a healthcare acquisition attorney do?

A healthcare acquisition attorney handles the legal and regulatory side of buying or selling a healthcare business. That includes CON review, CPOM compliance, Stark and Anti-Kickback diligence, Medicare and Medicaid provider transitions, payor contract transfers, and the purchase agreement itself. Managing Partner Alex Lubyansky leads every Acquisition Stars healthcare transaction personally.

Do I need CON approval to acquire a healthcare business?

It depends on the state, the type of facility, and the scope of services. Some states require Certificate of Need approval for hospital, ASC, nursing home, or imaging transactions, while others have repealed CON entirely. We assess the CON picture in the first conversation so you know the timeline and regulatory path before signing a letter of intent.

How does Corporate Practice of Medicine (CPOM) affect the deal?

CPOM rules restrict who can own medical practices and how non-physicians can share in clinical revenue. In strong CPOM states, buyers typically use MSO or friendly-PC structures to acquire the business side of a practice while leaving clinical ownership with licensed physicians. We design structures that hold up under state scrutiny and still deliver the economic deal you negotiated.

What happens to payor contracts and provider numbers at closing?

Payor contracts and Medicare and Medicaid provider numbers generally do not transfer automatically. Depending on structure, the buyer may need to pursue a change of ownership filing, recredentialing, or new enrollments, which affects cash flow in the months after closing. We build the plan for provider number continuity into the transaction timeline so reimbursement does not stall.

How is Acquisition Stars different from a general M&A firm on healthcare deals?

Healthcare deals combine standard M&A risk with a second layer of regulatory risk that can sink an otherwise clean transaction. Managing Partner Alex Lubyansky leads every healthcare deal personally, coordinating CON, CPOM, Stark and AKS, HIPAA, and payor issues alongside the commercial negotiation, with the responsiveness of a boutique firm rather than the layered staffing of a large practice.

What does Acquisition Stars handle for healthcare m&a legal services matters?

Acquisition Stars represents buyers and sellers across the full deal lifecycle: preliminary structuring, letter of intent, due diligence, definitive agreement negotiation, and closing mechanics. The firm handles certificate of need (con) review and state health agency approvals, corporate practice of medicine (cpom) compliance and mso structuring, payor contract transfer, assignment, and recredentialing coordination, among other transaction work. Alex Lubyansky leads every engagement.

Who does Acquisition Stars typically represent in healthcare m&a legal services engagements?

The firm represents physician groups merging, selling, or rolling up into a platform, hospital systems executing service line acquisitions or divestitures, ambulatory surgery centers (ascs) acquiring or being acquired, along with other parties involved in mid-market and lower-middle-market transactions. Engagements range from single-buyer acquisitions to multi-party recapitalizations.

Does the firm represent clients outside Michigan?

Yes. While the firm office is in Novi, Michigan, Alex Lubyansky represents clients nationwide on M&A and securities transactions. Most engagements involve out-of-state buyers, sellers, or target companies. The firm regularly admits pro hac vice in other states when matters require it.

Who will work on my deal?

Alex Lubyansky leads every engagement at Acquisition Stars. He sets the deal strategy, leads the negotiation, and runs closing, and every document is reviewed by him before it goes to the other side. An associate supports the work, including first drafts and diligence review. You will know who is doing what at each stage of the transaction.

How does the firm price healthcare m&a legal services engagements?

Pricing varies with deal size, complexity, and timeline, so Acquisition Stars does not publish a fee schedule. After a brief initial conversation about the deal specifics, the firm provides a written engagement scope, typically as a bundled engagement or with a not-to-exceed budget, so clients can plan the matter with confidence.

Ready to Discuss Your Healthcare M&A Legal Services Engagement?

Alex Lubyansky leads every healthcare m&a legal services matter.

15+ years of M&A experience. Nationwide practice. LOI through closing.

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We review every transaction inquiry within one business day.

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