Outpatient & Ambulatory Services

Since the early 1980s, Waller has supported outpatient health services providers and ambulatory surgery centers on transactional, regulatory and litigation matters.

We have been at the forefront of the outpatient services sector since its inception, and clients value our institutional depth and industry knowledge given the complexities in regulations and deal structure. Today, as more care shifts to the outpatient setting, many of the largest outpatient service providers, as well as smaller providers operating on local or regional levels, look to Waller for:

• Counsel across the full spectrum of outpatient services including ambulatory surgery, urgent care, diagnostic imaging, cancer treatment, dialysis, end stage renal disease (ESRD), labs, infusion therapy, free-standing Emergency Departments (EDs) and others
• Advice on acquisitions and facility development matters including mergers, acquisitions, divestitures, joint ventures and syndications with physician groups and hospital systems
• Day-to-day assistance with center-level legal and operational issues including state and federal regulatory and licensure matters; accreditation and survey issues; licensing and credentialing of physicians; and Certificate of Need matters
• Help with the development of start-up companies including organization, capitalization and governance
• Interpretation, enforcement and amendment of partnership and operating agreements
• Evaluation and defense of fair market value (FMV) compensation
• Corporate finance matters including public and private offerings of equity and debt, credit facilities and equipment leasing arrangements involving banks, commercial finance companies, private equity funds and venture capital firms
• Dispute resolution and litigation support in connection with government investigations, qui tam actions, peer review, medical staff issues, and employment and labor relations matters
• Real estate and facility leasing matters related to transactions and day-to-day operations