Burr & Forman

Health Care Business, Governance & Transactional

We assist our health care clients in a number of ways related to their businesses, including corporate formation, compliance, governance, mergers and acquisitions, taxation, and transactional needs. In addition, our health care team is experienced in assisting clients with certificate of need filings and proceedings.

We assist and advise health care entities with all manner of corporate and business matters, including:

  • Accountable Care Organizations (ACOs) and other types of integrated health care delivery systems
  • Employee compensation and benefit matters
  • Employment, independent contractor, recruitment, and other health care-related agreements
  • Forming physician practices and other health care entities
  • Health care board governance and compliance matters
  • Joint ventures involving health care providers
  • Medical staff bylaws and policies
  • Mergers, acquisitions, and consolidations of health care entities
  • Affiliation agreements between physicians and hospitals


Certificate of Need Compliance

From a business standpoint, our certificate of need experience includes the following:

  • Analyzing proposed projects for general compliance with state certificate of need laws
  • Drafting and filing letters of non-reviewability and change of ownership notices
  • Preparation of certificate of need applications
  • Appearing before the Certificate of Need Review Board and in related administrative and court proceedings


Not-for-profit hospitals or health care provider organizations which enter joint ventures, acquisitions and provider contracting arrangements face increasing scrutiny from federal and state taxing authorities on whether these activities are consistent with tax-exempt status. We know that maintaining your 501(c)(3) exemption is vital, and use our experience and knowledge of applicable tax laws and regulations on your behalf.

You also get the help you need on dealing with the tax implications of physician recruitment, tax-exempt financing, sales tax exemption and other operational concerns. For tax-exempt entities entering business transactions, we use well tested strategies or, where required by the circumstance, develop strategies to maintain 501(c)(3) classification, create new charitable or religious entities, review and revise organizational charters and bylaws so that they conform to tax code requirements, and establish new corporate structures or leasing arrangements to handle unrelated business income tax issues.

Looking to discuss your Health Care Business, Governance & Transactional issues?