Epstein Becker Green tax attorneys have extensive experience counseling our clients with regard to the tax implications raised by the myriad of transactions and business relationships encountered in today's health care market. Our tax attorneys are particularly experienced in all aspects of structuring, negotiating and documenting complex transactions and business relationships for clients representing a broad spectrum of the health care industry, including hospitals and hospital systems, managed care companies, physician organizations, clinical laboratories, university-affiliated institutions and trade associations. As tax counsel, our attorneys have structured joint ventures and strategic alliances involving both tax-exempt and for-profit entities including integrated delivery systems, physician-hospital organizations, management services organizations, group medical practices and faculty practice plans. They have also planned and implemented conversions of tax-exempt nonprofit health care entities to for-profit status; developed corporate restructuring and reorganizations; and advised clients with respect to asset and stock acquisitions and divestitures, capital market and municipal financing transactions, and physician recruitment and compensation arrangements.

The tax attorneys at Epstein Becker Green have significant experience in all aspects of obtaining and maintaining tax-exempt qualification and public charity status. They also advise clients with respect to private inurement and private benefit issues, compliance with state nonprofit laws, private foundations rules, intermediate sanctions on excess benefit transactions, lobbying limitations, unrelated business income tax, tax-exempt bond qualification, foreign charitable activities, compensation, fund raising, and charitable and planned giving techniques. The extensive experience of our attorneys, combined with their established credibility in dealings with the Internal Revenue Service and various states' attorney generals and other regulatory agencies, enable Epstein Becker Green's tax attorneys to be highly effective advocates for our clients.

The legal services that Epstein Becker Green tax attorneys provide for our tax-exempt and nonprofit organization clients include:

  • Forming nonprofit health care entities and obtaining tax-exempt status
  • Analyzing the tax consequences of client participation in transactions and business relationships
  • Developing strategic tax plans for acquisitions and sales of facilities and practices
  • Analyzing federal and state tax and nonprofit legislation and regulations
  • Preparing legal opinions and memoranda regarding tax and nonprofit issues
  • Assisting clients to establish compliance programs with regard to tax and nonprofit laws
  • Representing clients in matters before the Internal Revenue Service and states' attorney generals
  • Conducting tax due diligence reviews for buyers and sellers of health care companies