Purvi B. Maniar

Norton Rose Fulbright US LLP

St. Louis
United States
T:+1 314 505 8816
New York
United States
T:+1 212 318 3000
St. Louis
United States
T:+1 314 505 8816
New York
United States
T:+1 212 318 3000
Purvi B. Maniar

Purvi B. Maniar



Purvi Maniar is a member of Norton Rose Fulbright's healthcare transactions team and is a partner based in the firm's St. Louis and New York offices. She is a healthcare business lawyer who focuses on bringing together hospitals, health systems, medical group practices, behavioral health experts and key funding sources in strategic business arrangements. Purvi focuses on both domestic and international healthcare transactions and helped lead the expansion of the global law firm's high caliber domestic health system practice to include international healthcare transactions.

Purvi also advises clients in the areas of information technology, outsourced services and software licenses, including outsourced services providers, software developers and re-sellers, and their customers.

As part of her healthcare transactions practice, Purvi has developed a subspecialty in behavioral health. She has represented private equity companies in their acquisitions of substance use disorders and other behavioral health facilities, hospitals in connection with restructuring their inpatient behavioural health programs, as well as tele-behavioral health providers and other clients focused on the behavioral health space. 

Purvi works with her clients and industry players to build new synergies in the healthcare sector across the country and internationally. She has successfully represented large medical practices in their formation, acquisitions and strategic alliances with hospitals; hospitals in their mergers, acquisitions and domestic and prominent international joint ventures; and private equity-backed companies with their investments and acquisitions in the healthcare services sector.

Professional experience

Expand all Collapse all

JD, Georgetown University Law Center, 1998
BA, Rutgers University, 1995

  • District of Columbia Bar
  • Missouri State Bar
  • New York State Bar

Purvi has represented and advised a variety of key health industry participants in significant projects, including:

Hospitals and health systems

  • Prominent mid-west academic medical center in connection with a joint venture for development of hospital branded urgent care centers.
  • Hospital based accountable care organization in connection with:
    • Renegotiation and renewal of orthopedic service line co-management arrangement between specialty hospital and multiple orthopedic practices, and 
    • Business critical strategies and implementation thereof to retain ACO status in light of material regulatory changes and resulting departures of member organizations.  
  • Minnesota health system in connection with a joint venture involving its hospice and home health lines of business. 
  • Chicago health system in a sale of hospital-owned Medicaid and Medicare managed care plans.
  • Prominent academic medical center in New York in connection with the sale of a Medicare managed care plan.

A major US academic medical center in connection with multiple matters, including:

  • Multi-country research project across over ten countries to analyze local regulatory environment in each jurisdiction in connection with potential joint ventures related to the AMC's lab expertise.
  • Multi-country research project across over ten countries to review and analyze the local regulatory environment applicable to the practice of telemedicine and the provision of remote second opinions.
  • Prominent overseas joint venture to establish an international center of excellence

Private equity

  • Private equity investment firm in New York in connection with acquisitions in the areas of behavioral health, hospice and home health, allergy and asthma and other medical practices in multiple states.
  • Private equity backed hospital operator, in connection with the proposed acquisition of Texas hospital from another for profit hospital operator.
  • Hong Kong based company in connection with joint venture with a US based assisted reproductive technologies practice to establish a new, state of the art IVF clinic geographically accessible from China.

Behavioral health

  • Private equity backed company acquiring substance use disorder and other behavioral health facilities in Georgia, California, Arizona, Illinois and other states.
  • Minnesota based health system in connection with strategic restructuring options related to inpatient behavioral health program.
  • Private equity backed company in connection with acquisition of detox laboratory business in New Jersey supporting addiction recovery facilities in multiple states.
  • Chair, of AHLA Behavioral Health Task Force steering a group of vice chairs and other task force leaders who are behavioral health experts practicing in various settings, including in-house, non-profit and private practice settings to advance the understanding of laws affecting behavioral health, including laws related to the delivery of and reimbursement for treatment of mental illness, substance use disorders and developmental disabilities.


  • Largest integrated health system in New York in connection with the revision of its medical staff bylaws to incorporate telemedicine related policies.
  • UK based telemedicine provider in connection with telemedicine regulatory counseling in multiple US states.
  • Tele-behavioral health services provider for employees of large self-insured employers in connection with regulatory counseling including in areas of telemedicine, e-prescribing, privacy of behavioral health records in multiple states and formation and establishment of a "friendly professional corporation" and management company in Massachusetts. 
  • The Best Lawyers in America, Best Lawyers, 2020 - 2021
  • Co-author, "Reform of privacy rules related to substance use disorder treatment: Practical implications" Health Law Check-Up, Norton Rose Fulbright Legal Update, December 10, 2020
  • Co-author, "How behavioral health care rules are evolving for COVID-19," Law360, April 3, 2020
  • Co-Author "Multi-State Behavioral Health Strategies - Value Creation and Challenges," White Paper, Norton Rose Fulbright and Duff & Phelps, May 2018
  • Author, "42 C.F.R. Part 2 in Retrospective: The 30-Year Journey of the Alcohol and Drug Abuse Treatment Confidentiality Regulations" American Health Lawyers Association, May 2017
  • Co-Author "SAMHSA Finalizes Its Changes to Confidentiality of Substance Use Disorder Patient Records Regulations, February 1, 2017
  • Co-Author, "SAMHSA Releases Final Rule to Modernize Confidentiality Requirements for Patients Seeking Treatment for Substance Use Disorders" American Health Lawyers Association, January 18, 2017
  • Co-Author, "Opportunities and Challenges Under Medicaid Substance-Use Disorder Treatment System Reform" American Health Lawyers Association, November 17, 2016
  • Co-Author, "Assignment Lessons: 8th Circuit Finds Assigned Non-Competes Enforceable — Under Certain Facts" Trade Secrets & Noncompete Blog, July 29, 2016
  • Co-Author, "Behavioral Health and Population Health Management: Is It Time for Real Progress?" AHLA Journal of Health & Life Sciences Law, February 2016
  • Author, "Physician Owned Labs Affiliating with Hospitals" Health Law Advisor, January 20, 2016
  • Co-Author, "Connecticut Law Changes Reporting and Governance Requirements for Health Care Entities Part 2: Requirements Applicable to Physician Groups with Connecticut Locations" Client Alert, July 31, 2015
  • Author, "Delaware Authorizes Public Benefit Corporations: Will the First State Be the First to Benefit Healthcare Organizations?" BNA Health Law Reporter, July 31, 2014
  • Co-Author, "Connecticut Law Establishes New Reporting and Governance Requirements Applicable to Physician Groups with Connecticut Locations" Client Alert, December 11, 2014
  • Co-Author, "Is a Hybrid Just What the Doctor Ordered? Evaluating the Potential Use of Alternative Company Structures by Healthcare Enterprises" ABA The Health Lawyer, April 30, 2013
  • Co-Author, "Are Hybrids Really More Efficient? A 'Drive-By' Analysis of Alternative Company Structures" ABA Business Law Today, September 21, 2012
  • Co-Author, "Skillful Pilots Through Storms and Tempest – Different Issues to Consider in Physician Integration," AHLA Connections, December 29, 2011
  • Author, "U.S. – India Business Relationships in the Healthcare Sector are on the Rise," Business in South Asia: Legal Views and News, February 6, 2009
  • Author,  HIPAA Considerations for Intermediaries in Medical Tourism, April 30, 2008
  • Author, "Advancing U.S. –India Synergy In the Health Care Sector," The Metropolitan Corporate Counsel, June 10, 2007
  • "Behavioral Health Deal Trends & Considerations for the Year Ahead," BHB 2021 Outlook Webinar, January 21, 2021
  • "Behavioral health: The Post-Pandemic Transactional Landscape," Panelist, Norton Rose Fulbright Webinar, December 3, 2020
  • "Don't distress: Managing Internal Financial Challenges and Evaluating Opportunities in the Healthcare Market," Panelist, Norton Rose Fulbright Webinar, July 14, 2020
  • "Law Around the World: Global Transactions," Panelist, Sixteenth Annual Health Law Symposium, Austin, TX, January 24, 2020
  • "Telehealth and Telemedicine - Challenges and Opportunities," Providence Health and NYU Health, June 11, 2019 and January 24, 2019
  • "Is Bigger Better?" – Multi-State Strategies in Behavioral Health, AHLA 2018 Annual Meeting, June 27, 2018 
  • "Multi-State Behavioral Health Expansion-Navigating Multiple Regulatory Regimes"  AHLA Health Care Transactions Conference, Nashville, TN, May 10, 2018
  • "Investment in Behavioral Health – Drivers and Outlook" AHLA Webinar, April, 18, 2017
  • "Emerging Issues in Health Information Technology" South Asian Bar Association Webinar,  April 17, 2018
  • "Behavioral Health: Legal Issues in Private Sector Consolidation and Expansion" St. Louis University School of Law, November 7, 2016
  • "Behavioral Health: Legal Issues in Private Sector Consolidation and Expansion" St. Louis Area Health Lawyers Association, September 9, 2016
  • "Investments in Behavioral Health: Drivers and Outlook" Behavioral Health Crash Course Webinar, April 5, 2016
  • "Growing Your Business" Saint Louis International Women's Day, St. Louis, MO, March 8, 2013
  • Member of Board of Advisors, Pink Ribbon Girls 
  • Member of Board of Advisors, BetterMynd
  • Chair, American Health Law Association (AHLA) Behavioral Health Task Force
  • Member, Women Business Leaders in the Healthcare Industry Foundation (WBL) 
  • Saint Louis Area Health Lawyers Association
  • South Asian Bar Association of Metropolitan St. Louis, Board Member
  • South Asian Bar Association of North America
  • Hindi