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The Law Office of
Timothy W. O'Hara
Blog Posts
Written by our Agents.


Hidden Risks of Private Equity MSO Deals for California Physicians
Private equity investment in healthcare continues to expand aggressively across California. Physicians are routinely approached with promises of: Large future payouts Operational expertise Increased profitability Reduced administrative burdens Practice growth opportunities “Partnership” structures designed to maximize value For many physicians, these transactions can appear highly attractive — particularly after years of dealing with declining reimbursements, staffing challen

Timothy O'Hara
5 min read


Why Medical Practice Tenants Must Be Careful Before Signing a Long-Term Lease in California
For physicians and healthcare providers leasing medical office space in California, the structure and timing of a commercial lease can have significant long-term financial consequences — especially when the property owner intends to sell the building in the future. One issue that is often overlooked during lease negotiations is how a future property sale can dramatically increase operating expenses under a triple net (NNN) lease. In many cases, a landlord may push for a stron

Timothy O'Hara
4 min read


The Hidden Risks for Physicians Entering Into MSO and Private Equity Arrangements in California
Over the past decade, private equity investment in healthcare has accelerated dramatically. Across California, physicians are increasingly approached by management companies and private equity-backed groups offering capital, operational support, growth opportunities, and liquidity events through Management Services Organization (“MSO”) structures. While these arrangements can appear to create substantial economic opportunities, many physicians do not fully appreciate the lega

Timothy O'Hara
5 min read


February's 2025 California Medical Real Estate Market
As of February 2025, California's medical real estate market is experiencing significant transformations driven by demographic shifts, technological advancements, and evolving healthcare delivery models. Aging Population and Increased Healthcare Demand California's aging population is a primary factor influencing the demand for medical real estate. As the number of elderly residents rises, there is a corresponding need for healthcare facilities, including hospitals, outpatien

Timothy O'Hara
1 min read


Landlord Survival During the Pandemic and After
Various executive and emergency orders at all levels of government have granted rent forbearance to both residential and commercial tenants. While this certainly has all the attributes of a regulatory taking, these orders have been couched in terms of emergency orders. So, while the Constitutional Law analysis of whether a Landlord can be ordered to not demand rent, not charge late fees, and interest while being precluded from utilizing the eviction process is intriguing, i

Timothy O'Hara
3 min read
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