Frank Carsonie

Served as deal counsel in recapitalization and reorganization of an ambulatory surgery center, including the addition of a health system partner and sale and leaseback of real estate assets.

Served as deal counsel for a regional health system in the reorganization of its home health care and hospice service line through a spin out and joint venture with a management company.

Represent regional post-acute care company in participation in a regional health system’s accountable care organization including regulation of performance metrics and incentive compensation structures.

Represented a state Medicaid agency in re-negotiation of Medicaid managed care plan agreements to address actuarial deficiency.

Represented a physician group practice in the development and capitalization of several freestanding dialysis centers.

Represented DSO in nine add-on practice acquisitions to continue to grow regional dental services organization and enhance EBITDA for future capital event. We handled all aspects of structuring, diligence and execution of acquisition. Advised on post-closing integration.

Represent regional health system in implementation of incentive compensation structures under its accountable care organization.

Represented a client in the renewal of an emergency medicine staffing agreement across four health care facilities.

Represented large private equity sponsored emergency medical staffing and MSO company as health care regulatory counsel in the acquisition of large emergency physician practice and deal and regulatory counsel in continual add-on acquisition.

Represent chronic care management SaS Company in negotiation of agreements with post-acute companies and large teaching hospitals in multiple states.

Represent multiple physician groups in assessment of participation opportunities under Medicare payment reforms including MIPS and MACRA.

Represented physician practice enterprise in negotiating Medicare Advantage participating provider agreements and delegated services agreements.

Represented multi-state post-acute company in development of a hospice joint venture including the acquisition of an existing hospice business.

Represent multi-specialty physician practice in assessment and planning for participation in CMS’ Comprehensive Primary Care Plus program including reimbursement structures and quality goals.

Represent physician enterprise focused on post-acute care in negotiation of participating provider agreements including delegated services for utilization review and care management and risk-based compensation.

Representing large regional health system in the acquisition of a governmental hospital and an affiliated physician practice.

Negotiate and draft complex service line co-management agreements on behalf of regional health systems for oncology and orthopedics including incentive compensation tied to quality metrics and cost management.

Represented the buyer in its acquisitions of multiple behavioral health practices throughout the country.

Represented the buyer in its acquisition of a provider of mental-health services in the State of Washington.

Represented the buyer in its acquisition of a provider of mental-health services with a focus on telehealth.

Represented revenue cycle management company in the home medical equipment space in the sale of substantially all its assets to a competitor, drafted and negotiated all definitive agreements, counseled client, and processed the closing of the transaction.

Represent client in a spin out of its general medical practice into a join venture with a practice management company with a focus on home-based models of care and value-based arrangement. 

Representation of Ohio Living Ventures, an affiliate of Ohio Living, in its participation in a joint venture with two other continuing care retirement communities for the development of an institutional special needs plan which will be marketed as a Medicare Advantage Plan in the areas served by the joint venture partners.  Included review and negotiation of subscription agreements, operating agreement and management agreements for their-party administrator.  In addition, reviewed and negotiated Ohio specific documents to allow for the inclusion of additional partners in the Ohio plan.  Worked with Ohio Department of Insurance in facilitating issuance of Certificate of Authority for the plan.

Represented Ohio Living Communities, an affiliate of Ohio Living, in the sale of the Park Vista continuing care retirement community in Youngstown, Ohio to Natick HCG, LLC. 

Representation of BMX Imaging, LLC in reorganization of existing ownership to involve sale of 60% of equity to local healthcare system.  Includes negotiating term sheet and valuation, drafting and negotiating definitive agreements.

Represented ConcertoHealth in the termination of its provider and delegated services agreement with Michigan Complete Health.

Represented Ohio Living in its participation in a joint venture with two other continuing care retirement communities for the development and generation of an institutional special needs plan which will be marketed as a Medicare Advantage Plan in the areas served by the joint venture partners.