Physician practice acquisitions carry a regulatory layer that standard business transactions do not. Corporate Practice of Medicine rules, Medicare and Medicaid provider number transfers, Stark Law compliance, and payor credentialing timelines all affect whether a deal closes cleanly and the practice keeps running. Our Aliante medical practice attorneys guide physicians buying and selling practices across Healthcare, Technology, Professional Services and the healthcare sector, with Managing Partner Alex Lubyansky personally involved in every engagement.
Share the basics. Alex reviews every inquiry personally.
Your transaction details are under review. If there is alignment, we will be in touch.
Meanwhile, feel free to call us directly at (248) 266-2790
Alex Lubyansky handles medical practice acquisition law work for buyers and sellers in Aliante and across the country. Here is what that looks like:
We work best with people who know what they want and are ready to move:
Tell us what you are working on. We respond within one business day.
Your transaction details are under review. If there is alignment, we will be in touch.
Meanwhile, feel free to call us directly at (248) 266-2790
A structured, methodical approach to medical practice acquisition law
We assess the CPOM posture, Stark and AKS exposure, CON requirements, and Medicare and Medicaid provider number transfer mechanics for your specific transaction before any term sheet is signed.
Managing Partner Alex Lubyansky structures the acquisition to respect CPOM limits, optimize risk and tax treatment, and where needed designs an MSO or friendly-PC arrangement that preserves clinical independence while delivering the economic deal.
We conduct diligence across payor contracts, Medicare and Medicaid enrollment, compliance program maturity, malpractice history, physician employment agreements, and patient volume concentrations to surface risks before closing.
We negotiate the purchase agreement, physician employment or non-compete terms, transition services arrangement, and earnout provisions tied to clinical performance metrics specific to the practice type.
We coordinate CHOW filings, payor credentialing timelines, and post-closing integration to ensure patient care and reimbursement continue without interruption from day one of your ownership.
We don't take every matter. Here is what happens when you reach out.
Alex reviews your transaction details personally. No intake coordinators, no junior associates screening your submission.
We evaluate whether your deal aligns with our practice. Not every matter is a fit, and we will tell you directly if it is not.
If there is alignment, Alex schedules a direct call to discuss your transaction, timeline, and objectives.
Before any work begins, you receive a written engagement letter with defined scope, timeline, and fee structure. No surprises.
Alex Lubyansky handles every medical practice acquisition law engagement personally.
15+ years of M&A experience. Nationwide. One attorney on every deal.
We review every transaction inquiry within one business day.
Your transaction details are under review. If there is alignment, we will be in touch.
Meanwhile, feel free to call us directly at (248) 266-2790
Use these before you call any firm, including ours.
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.
Volume indicates current, active deal experience, not just credentials from years ago.
A $500K SBA acquisition and a $50M PE deal require different skill sets. Make sure the attorney has handled transactions similar to yours.
M&A transactions require a team. Your attorney should work with your other advisors, not in a silo.
Reps, warranties, and indemnification claims surface months after closing. Ask whether the firm handles post-closing litigation or refers it out.
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.
Common questions from Aliante clients
Submit your transaction details for a preliminary assessment by our managing partner
Submit Transaction DetailsSubmit transaction details and Alex will respond directly.
Your transaction details are under review. If there is alignment, we will be in touch.
Meanwhile, feel free to call us directly at (248) 266-2790
Las Vegas's M&A market extends well beyond the Strip, encompassing a diverse economy driven by hospitality and entertainment, construction, healthcare, and a rapidly growing technology sector. The region's massive convention and tourism infrastructure creates deal opportunities in food services, facility management, and experiential entertainment that are unique nationally. Southern Nevada's explosive population growth (among the fastest in the U.S.) has triggered consolidation waves in healthcare, home services, and commercial real estate.
Las Vegas deal flow is highly seasonal, with hospitality-related transactions often timed around convention and tourism cycles. Buyers should expect higher revenue volatility in hospitality-adjacent businesses but can find attractively priced assets during softer tourism periods. The market has deepened considerably as diversification beyond gaming continues.
Nevada's zero state income tax, both personal and corporate, creates an immediate bottom-line advantage for acquired businesses compared to competitors in California or other high-tax states. The metro's 30% population growth over the past decade provides organic revenue growth for consumer-facing businesses, and its proximity to Southern California opens a massive addressable market.
Nevada has enacted one of the nation's most protective LLC statutes, including charging order protection for single-member LLCs, and the state does not enforce non-compete agreements for hourly workers, which is critical to workforce planning in hospitality-related acquisitions.
Enforceable with restrictions for low-wage workers. Blue-pencil available.
Entity mergers and conversions must be filed with the Nevada Secretary of State. Bulk sales compliance requires 45-day advance creditor notice. Annual lists (reports) are required with relatively high filing fees. Business licenses are required from the Nevada Secretary of State.
State Bar of Nevada (mandatory unified bar). Unified/integrated bar. Membership required to practice law in Nevada.
Bar association websiteFederal districts: D. Nev.
Business court: Nevada Eighth Judicial District Court Business Court (Las Vegas) and Second Judicial District Court (Reno) (established 2000) Business court departments operate in Clark County (Las Vegas) and Washoe County (Reno). Nevada is a popular state of incorporation alternative to Delaware for gaming, cannabis, and technology companies.
Nevada M&A reflects gaming and hospitality, technology, and real estate sectors in Las Vegas; Reno has grown as a technology and logistics corridor with significant acquisition activity.
Watchpoints
These are the items we see derail medical practice acquisition law transactions in the Aliante market. Each one is rooted in current statutory law, recent legislative changes, or recurring patterns from the deals Alex has handled.
Enforceable with restrictions for low-wage workers. Blue-pencil available.
"Your lawyer might help you close the deal. But if they're not there to help you realize its value afterward, you're leaving money on the table."
Securities regulated by Nevada Secretary of State Securities Division (nvsos.gov/securities). Nevada follows the Uniform Securities Act; Blue Sky notice filings required for Reg D. Nevada limits non-competes for lower-wage workers.
The most expensive deals aren't the ones with high price tags. They're the ones where buyers skipped the 90-minute assessment because they fell in love with the highlight reel.
In-depth guides to help you prepare for your transaction
Full-service M&A counsel from letter of intent through closing.
Read guideA structured approach to legal, financial, and operational due diligence.
Read guideUnderstanding the binding and non-binding elements of each document.
Read guideCommon deal-killers and how experienced counsel helps prevent them.
Read guideAcquisition Stars represents clients across Nevada and nationwide. Alex Lubyansky handles every engagement personally.
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"For companies issuing new shares now, the structure and timing of new issuances matters more than ever."
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
Alex Lubyansky handles every engagement personally. Tell us about your transaction and we will let you know if there is a fit.
Tell us about your deal. We review every submission and respond within one business day.
Your transaction details are under review. If there is alignment, we will be in touch.
Meanwhile, feel free to call us directly at (248) 266-2790
One attorney on every deal. Nationwide. 15+ years of M&A experience.