Crush & Varma Law Group P.C.
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Health Care/Medical Services Delivery Law

The attorneys at Crush & Varma Law Group P.C. understand the healthcare industry.  Our medical services practice began over 20 years ago when firm lawyers were deeply involved in the general representation of local hospitals and physician groups. We advised on the initial corporate restructurings which brought about foundations, parent companies, joint ventures and clinical extensions, offshore insurance entities, for-profit subsidiaries, captive PC’s, and transition of employed emergency and radiology groups to private practice, the development of hospitalists, physician recruitment practices and loans, and through the ever-changing regulatory environment of Stark and its iterations and Anti-Kickback legislation on the federal level and fee splitting and referral issues of the states.  We are knowledgeable and remain available to assist our clients be proactive as rules and regulations for the new managed care model evolve including as they relate to Accountable Care Organizations (ACO’s) and Health Homes.  

We are able to advise our clients on the legal implications of their day-to-day
business developments and issues as they arise.   Typical services we have
provided have included:
  • mergers and acquisitions, joint ventures
  • corporate restructurings, formations and qualification of entities as
    not-for-profit and/or charitable
  • employment law
  • physician recruitment agreements (both with hospitals and physician
    practices) including the development of employment contracts, incentives and
    partnership/shareholder buy/sell agreements, confidentiality and restrictive
    covenant agreements
  • intellectual property
  • medical director contracts
  • development and financing of pharmacies, cancer centers, private practice
    offices, home health agencies
  • equipment financing
  • review and negotiation of state agency and federal contracts
  • compliance and policy development and enforcement actions
  • governance, bylaws, resolutions, D&O insurance, succession planning
    and recruitment
  • deferred compensation arrangements and ERISA


Our representative clients have included:

  • non-profit, proprietary health care systems
  • retail and long term care pharmacies 
  • durable medical equipment suppliers
  • home health care companies
  • ancillary services providers, such as ambulatory surgery centers,
    diagnostic and treatment centers, cancer centers (both infusion and radiation
    oncology).  
  • physicians, physician groups and specialty provider associations
  • practice management companies, billing companies, consumer billing
    advocates
  • not-for-profit agencies providing supportive, diagnostic and mental health
    services, including clinical services, for persons with disabilities
  • lenders and investors involved in health industry transactions


Representative Transactions

  • Corporate structuring, construction financing, and permanent loan financing on behalf of medical practice for construction of $8 million dollar medical arts facility and leasing of the facility.

Practice Areas

  • Banking and Finance
  • Corporate, Contractual and Commercial Transactions
  • ​Health Care/Medical Services Delivery Law
  • Immigration – Business, Corporate and Family
  • Information Technology, Intellectual Property – License and Franchise
  • Liquor Licensing – Breweries, Distilleries, Restaurants and Stores
  • Litigation
  • Mergers & Acquisitions, Joint Ventures, Cross Border Transactions & Foreign Investments
  • Not-For-Profit Corporation Law
  • Real Estate – Commercial and Residential
  • Taxation – Income, Gift, Estate & Sales/Use
  • Wills, Trusts & Estates, Business Succession Planning