Ryan J. Cuthbertson

RELEVANT EXPERIENCE

Prior to joining Practus, Ryan was a Partner at Hooper, Lundy & Bookman, a national healthcare boutique firm and one of the largest healthcare practices in the country. A substantial part of Ryan’s practice is made up of comprehensive representation involving practice acquisitions and real estate transactions. He drafts and negotiates initial letters of intent, performs regulatory and corporate due diligence, advises on transaction structure based on that diligence, prepares and negotiates the appropriate transaction documents, assists with changes of ownership related to licensure and certification, and Medicare/Medicaid enrollment applications. He also helps structure various commercial and clinician employment arrangements to reduce risk under fraud and abuse laws. Other specialty areas include:

• Business Transactions
• Commercial Arrangements
• Corporate Governance
• Clinical Laboratory
• Digital Health and Other Health Technologies
• ESRD Facilities
• Financing
• Fraud and Abuse, Stark, Anti-Kickback Counseling
• Mergers and Acquisitions
• Physicians, Medical Groups, Medical Foundations, and Independent Practice Associations (IPAs)
• Provider and Supplier Operations
• Real Estate

REPRESENTATIVE MATTERS

• Qualified and formed professional entities over two years in 38 states on behalf of a women’s telehealth company initially operating in only three states.
• Developed employment and services agreements for providers such as Licensed Clinical Social Workers, Psychologists, Physicians, Nurse Practitioners, and Dieticians.
• Successfully negotiated the acquisition of interests in Medicare Secondary Payor litigation claims for a hedge fund client in a deal that involved holdbacks, waterfall earn-out payments, purchase options, rights of first refusal, and uncommon corporate structures, including a special purpose acquisition company (SPAC) and Delaware Series LLCs.
• Assisted with an $8 million purchase of a medical office building from a real estate investment trust.
• Successfully established multiple medical practices in New York, including navigating a unique and challenging approval process with the New York Department of Education.
• Handled dozens of regulatory filings in connection with the $35 million acquisition of a multi-state hospital system by a private company, including filings for enrollment, accreditation, and licensing for each facility.
• Led the acquisition of neighboring properties from local municipalities on behalf of a community hospital, including reviewing survey and underlying survey documents to find title issues, negotiating agreements to mitigate the potential impact of such issues, and closing the transaction on schedule according to the hospital’s development plans.
• Drafted and negotiated subleases for a medical office building space with medical and dental practices on behalf of a community hospital.