The firm’s work reflects the realities of healthcare law at its most consequential. Buttaci Leardi & Werner advises healthcare providers, organizations, and investors on complex transactions, regulatory matters, and the defense of government enforcement actions, including False Claims Act investigations and litigation, where the stakes extend well beyond a single deal or case. The matters highlighted here illustrate how the firm approaches high-impact healthcare problems with precision and foresight, whether forming and expanding platforms, navigating demanding regulatory pathways, defending against enforcement risk, or litigating disputes that shape long-term outcomes. Each result reflects a focus on durability, credibility, and long-term positioning within the healthcare ecosystem.
Platform Formation & Strategic Transactions
Advised on the Sale of a Multistate Long-Term Care Psychiatry Practice to a Strategic Buyer
Advised a multistate long-term care psychiatry practice in its sale to a strategic buyer, including transaction negotiations, executive onboarding, rollover equity, earn-out arrangements, and employee transition matters.
Advised PAX Health on the Formation and Expansion of a Multistate Behavioral Health Platform
Advised a private equity–backed behavioral health platform on a series of acquisitions establishing an integrated multistate provider across New York, New Jersey, and Pennsylvania.
Closed the Sale of a Multistate Podiatric Practice to a Private Equity Buyer
Represented the selling physician-owners of a multistate podiatric practice in its $25 million sale to a private equity buyer, addressing regulatory diligence issues and structuring post-closing arrangements to manage potential exposure.
Complex Healthcare Financings
Advised on a Rare Municipal Bond–Financed Sale of a Behavioral Health Provider
Served as lead M&A counsel on a $141 million municipal bond–financed sale of a behavioral health provider to a nonprofit buyer, one of only a small number of such transactions in the sector nationwide.
Regulatory Licensing & Government Approvals
Advised on a Nonprofit Behavioral Health Affiliation and Regulatory Integration
Advised on a nonprofit affiliation between behavioral health providers, structuring a sole corporate membership model and securing multi-layered New Jersey regulatory approvals, including Certificate of Need and Policy 109 review.
Advised on the Licensing of an Integrated Primary and Behavioral Health Center
Advised on the licensing of the first integrated primary and behavioral health center in New Jersey arising from a joint venture with an academic medical center and a major health system, completing regulatory approvals in mid-2025.
Government Enforcement & False Claims Act Defense
Defended Healthcare Providers in False Claims Act and Government Enforcement Matters
Defended healthcare providers in government enforcement matters, including False Claims Act investigations and litigation arising from audits, reimbursement disputes, and alleged regulatory violations.
Healthcare Litigation & Commercial Disputes
Represents a Clinical Laboratory in Federal Litigation Against a Global Manufacturer
Represents a New Jersey-based clinical laboratory in federal litigation against a global manufacturer arising from the alleged failure of a COVID-19 testing platform, with claims surviving multiple motions to dismiss and discovery concluded.