Healthcare

Hospital and Health Systems

• Orchestrated concurrent expansions for an academic health system, integrating acquisitions and affiliations to strengthen market presence and capacity, resulting in an additional 2,000 beds and eight hospitals and related assets.
• Advised on a $4 billion ambulatory surgery center company acquisition across multiple states, obtaining licensing, certificate of need (CON), regulatory and antitrust approvals and navigating associated corporate restructuring, real estate, divestiture and litigation matters.
• Advised an academic health system on a landmark affiliation with a financially distressed public hospital district, using a Joint Powers Authority structure to keep essential services available and reduce bankruptcy risk.
• Secured a landmark $45 million settlement in a dispute over a failed hospital acquisition, ending years of litigation, providing vital capital and clearing the path for the hospital’s future.
• Transformed distressed healthcare assets into strategic value through a coordinated restructuring that navigated parallel bankruptcy, regulatory and public scrutiny issues—showcasing cross disciplinary leadership.
• Negotiated a system payer renewal that avoided broad coverage disruption and aligned patient facing communications underscoring deep experience in managed care contracting and stakeholder engagement to secure reliable access for communities. 

Physician and Medical Groups 

• Served as lead counsel to build and operationalize a physician services platform from the ground up, including entity formation, physician compensation and equity incentive design. After launch, led healthcare regulatory execution for a $2.49 billion sale of a 70 percent equity interest to a national strategic partner. 
• Led the acquisition of a national urology management services organization to support expansion of physician-owned practices and ambulatory surgery centers. The transaction brought growth capital and operating scale to broaden access to high-value specialty care, strengthen clinical coordination and support cancer care improvement initiatives—while aligning governance, contracting and regulatory considerations for efficient integration.
• Advised on a series of strategic affiliations and management services organization acquisitions totaling more than $600 million across multiple states. These transactions expanded a physician-led oncology platform designed to preserve independent practice while adding the scale needed to support innovation, clinical research and consistent operating standards—helping practices grow without losing clinical focus or operational control.
• Led the sell-side transaction for a scaled gastroenterology management services platform, coordinating corporate structuring, diligence, licensing and change-of-ownership approvals to keep the deal on track. We also navigated payer and provider contracting, privacy and compliance requirements to reduce closing risk. From formation through add-on acquisitions, we served as ongoing outside counsel—supporting growth with practical, integrated guidance.
• Represented a more than 500 physician medical group in its affiliation with a large non-profit health system under California’s 1206(l) medical foundation model and negotiated the related Professional Services Agreement with an incentive-aligned compensation methodology. Helped create an integrated delivery system structure that supported coordinated care, quality improvement and operational alignment while navigating corporate practice of medicine, fraud and abuse and reimbursement considerations.
• Represented an orthopedic surgery medical group in an ASC joint venture with a non-profit health system to develop two de novo ambulatory surgery centers. Enabled physicians to invest alongside the health system and transition appropriate cases to a lower-cost outpatient setting, expanding capacity, improving patient access and experience and supporting efficient, high-quality surgical care.
• Represented a private equity sponsor in the platform acquisition of an orthopedic surgery practice and continued as outside general counsel for operational legal matters and transaction counsel for add-on growth. Helped build one of the longest-tenured integrated orthopedic platforms, expanding from 15 physicians in one state to over140 physicians across 42 clinics in five states, including support for value-based care initiatives (bundles/risk-sharing), contracting, governance and regulatory compliance.
• Assisted a large medical group in developing and launching a Peer Review and Fair Hearing program and advised on ongoing physician employment, peer review and medical board/NPDB reporting matters. Established defensible processes that promote patient safety and quality, reduce employment and credentialing risk, and support consistent documentation and compliant reporting in sensitive performance and disciplinary matters.
• Represent a medical group that over the past decade has grown from a few physicians in one location to over 200 physicians across 70 locations, including 10 affiliated surgery centers. In our role as outside general counsel, we’ve represented the medical group in practice acquisitions, the formation of surgery center joint ventures, litigation matters and regulatory filings. 
• Represented a large health system in its acquisition of over 250 surgery centers across more than 30 states, including healthcare regulatory due diligence and state and federal regulatory filings.
• Counseled medical groups—from single-specialty to large multi-specialty organizations—on revamping physician employment agreements and documenting complex compensation models. Improved clarity and consistency across contracting, strengthened compliance with applicable regulatory frameworks, and reduced risk of disputes and employment-related litigation by aligning compensation terms, duties, governance and termination mechanics with medical group operations.

Healthcare Private Equity

• Led a complex $8.9 billion national healthcare merger, delivering seamless closing through strategic structuring, comprehensive diligence and antitrust navigation, while supporting a new joint venture to drive integrated care and growth in commercial markets.
• Counseled a private equity health plan partnership to launch a next generation primary care platform, securing approvals under emerging state oversight regimes—illustrating our command of healthcare convergence and novel regulatory frameworks reshaping market dynamics.
• Advised a global private equity firm on the acquisition and regulatory workstreams for a $1.2 billion hospice platform transaction. Negotiated a favorable resolution of significant Medicare hospice cap liability, including a special indemnity and a multiple-based earn-out adjustment.
• Advised a healthcare-focused private equity firm on a majority growth recapitalization that advanced innovation and market expansion in minimally invasive interventional spine care. This investment enabled continued clinical studies, accelerated next-generation product development and supported U.S. commercial growth for a spine implant used in over 14,000 procedures—reinforced by strong clinical data and robust trial outcomes.
• Advised on a landmark private equity exit involving one of the largest gastroenterology management platforms in the Northeast, spanning over 40 locations, 24 ambulatory surgery centers, over 250 providers and more than 1,250 employees. The transaction highlights growing investor demand for scaled, specialty care platforms and demonstrates the complexity and value of building integrated organizations that improve access to high-quality, cost-effective healthcare at scale.
• Supported a large growth equity fund in the formation and build-out of a national network of community oncology practices from formation through rapid multi state expansion and multiple sponsor transitions. We built the corporate and healthcare regulatory foundation, including advising on initial structure, management arrangements, equity commitments, then executed key affiliations and supporting the platform in a multi-disciplinary holistic approach. We also delivered regulatory execution for complex growth, including diligence, licensing and compliance for the acquisition and integration of numerous significant practices across multiple states, including tuck-in transactions folding several practices into existing affiliate practices, crafting compliant governance and compensation structures within those expanding organizations. As the network expanded into adjacent specialties, we advised on a national urology group acquisition, structured joint venture arrangements to support scale and provide ongoing regulatory counsel for day-to-day operations.

Healthcare Technology & Innovation (AI, Digital Health, Health Tech)

• Defended an artificial intelligence software company against state attorney general allegations under the Texas Deceptive Trade Practices Act tied to product marketing. Achieved a first-of-its-kind resolution for artificial intelligence marketing that imposed limited compliance and audit rights, with no admission of wrongdoing and no payment—reducing risk while allowing the business to keep operating and selling. 
• Enabled a national value-based care platform to scale physician partnerships by providing ongoing regulatory counsel on reimbursement rules, fraud and abuse compliance and accountable care organization requirements under the Medicare Shared Savings Program. Advise on strategic ventures and day-to-day policy reviews to support compliant expansion from fee-for-service to value-based care. 
• Secured dismissal of the majority of claims in a putative class action following a data breach for a leading electronic medical record software provider, including all claims under seven states’ laws. The outcome reduced litigation exposure, protected business momentum, and strengthened the defense position for future privacy and security disputes. 
• Provided privacy and data security counsel, including developing time-sensitive consent frameworks to support compliance with the Telephone Consumer Protection Act (TCPA) and implementing practical controls as privacy and marketing requirements evolve. 
• Advised a health software developer on healthcare regulatory compliance and negotiated commercial distribution agreements for a behavioral modification software product with a national managed care organization. 
• Represented a healthcare company focused on remote patient monitoring (RPM) and Chronic Care Management (CCM) on regulatory compliance related to developing a joint venture structure and supporting substantial expansion of operations into multiple states.
• Represented a healthcare technology company in employment litigation brought by a former senior human resources executive following a reorganization, alleging age discrimination and retaliation. Achieved partial summary judgment and negotiated a favorable settlement that significantly reduced the initial multimillion-dollar demand.
• Developed and assisted with comprehensive data privacy and security compliance programs, including policy drafting, implementation and ongoing training.
• Advised multiple health systems, providers, and other HIPAA regulated companies on use of tracking technologies on websites including assessments, support on remediation, and defense in civil litigation and regulatory investigations.
• Advised an AI-powered and telehealth-enabled healthcare company focusing on untreated behavioral health and chronic conditions on all privacy and cybersecurity considerations, including GDPR, CCPA, HIPAA and related state laws.
• Advised multiple healthcare providers on response and investigation to data breaches, including related state and federal inquiries and litigation defense.
• Supported launch and compliance of groundbreaking healthcare applications and AI systems, including clinical rule-based tools, diagnostic support systems, digital therapy programs, and medication adherence and care coordination apps.
• Led joint venture, redefining AI in global healthcare and financing partnerships between Middle East and North America.