Serve as lead counsel to an international public health care company in the closing of hundreds of dialysis clinic acquisitions and divestitures, physician practice acquisition and management transactions, strategic minority investments and care coordination activities.

Served as lead counsel for a large North Carolina health system in its acquisition, affiliation, investment in and/or management of multiple strategic hospital partners.

Represented an international public health care company in its $2 billion acquisition of a home dialysis equipment maker.

Serve as transaction and health care regulatory counsel to a national radiology and diagnostic imaging platform in its acquisitions and divestitures of centers in multiple states.

Represented an international public health care company’s $385 million acquisition of a nationwide 30-facility vascular access business involving substantial business restructuring including joint ventures, management services organizations and employment arrangements.

Represented a national operator of retirement communities in the sale of eight communities in four states to a publicly traded real estate investment trust.

Represented a North Carolina medical practice providing infertility services in a sale of their practice to a private equity-backed fertility company structured through a management services organization arrangement.

Represented a payor-private equity joint venture in its acquisition of a regional management services organization supporting a network of primary care and behavioral health and wellness practices.

Represent a health care venture capital fund in connection with a variety of early-to-later stage investments in health care companies.

Represent a private equity and venture capital fund in a number of its portfolio company equity investments in health care companies.

Serve as lead counsel to an international public health care company in the closing of hundreds of joint venture transactions, including dialysis clinic joint ventures, vascular access joint ventures and cardiac cath lab joint ventures.

Formed ESRD accountable care organizations in 24 major markets throughout the United States to participate in the CMS ESRD Seamless Care Organization and Comprehensive Kidney Care Contracting models.

Represented a large health system in its affiliation arrangements with an international consumer electronics business to co-develop home health technologies and other services.

Formed a joint venture between kidney care and primary care management companies to enter into value-based care arrangements for chronic kidney disease and end-stage renal disease patients.

Represented two large physician practices in the Carolinas in the formation of separate joint ventures to monetize proprietary technology and services to be marketed to physician practices throughout the United States.

Represented an international public health care company in its efforts to partner with a North Carolina health care system to improve costs and quality of care for end-stage renal disease by developing and implementing a local care model, an integrated care network and a Medicare Advantage Chronic Special Needs Plan.

Represented a large orthopedic practice in structuring a joint venture to provide management services to orthopedic practices and hospital orthopedic service lines across the country.

Provide compliance counseling to hospitals and health systems and ancillary service providers in connection with federal and state fraud and abuse matters and surprise billing matters.

Led health care due diligence review and analysis on behalf of an international public health care company for its $2 billion acquisition of a home dialysis equipment maker.

Assisted a large North Carolina health system and its multiple affiliated hospitals with compliance self-audits, acquisition due diligence, corrective actions and self-reporting, culminating in favorable resolutions under the CMS Stark Self-Referral Disclosure Protocol.

Conduct regulatory analysis for an international public health care company examining permitted parameters of physician ownership in equity joint ventures across the U.S. and recommend deal structure and best practices to address state-specific regulatory considerations.

Assessed the regulatory compliance of ESRD accountable care organizations with the federal Anti-Kickback Statute, the federal Stark self-referral law and CMS waivers issued thereunder.

Represent a leading biologics firm in frequent regulatory investigations concerning compliance with state and FDA regulations, licensure requirements and disability accommodation laws.

Counsel and advise various health care provider clients on corporate practice of medicine rules, fee splitting, and other state regulatory and licensing requirements, and the development of state-specific management service organization structures.

Structured a value-based care enterprise between a hospital system and an affiliated medical practice to participate in governmental, Medicare Advantage and private insurer value-based care initiatives. 

Counsel on federal and state telehealth laws and regulations as well as licensure requirements for health care professionals involved in the administration of telehealth.

Represent a large North Carolina health system in a class action alleging one of its hospitals routinely overcharges uninsured patients for emergency room care.

Represent a large North Carolina health system in actions brought by physicians and other professionals alleging breach of employment contracts and wrongful termination of employment.

Represented a leading biologics firm in a case before the U.S. Court of Appeals for the Tenth Circuit involving a question of first impression concerning application of the Americans with Disabilities Act to FDA-mandated donor eligibility decisions.

Counsel various health care provider clients on a full range of employment law matters, including preparing and negotiating employment and independent contractor agreements; advising on day-to-day employment and human resource matters; and defending employment litigation and administrative charges before the Equal Employment Opportunity Commission, state and local deferral agencies, and federal and state departments of labor.

Represented a public health care system in successfully resolving a federal investigation regarding North Carolina’s Disproportionate Share Hospital Program.

Represented a regional hospital system and its executives in an action brought by a physician alleging termination in violation of the First Amendment to the U.S. Constitution and alleging multiple violations of North Carolina law.

Counsel a range of health care providers and health care IT, m-health, portal and medical payment companies on HIPAA and general telehealth compliance.

Counseled a large North Carolina health system with the rollout of an innovative wellness program focused on population health management, with the health system and local employers partnering to provide access to an existing licensed portal technology and offering the portal and other programming and resources to its own employee subscribers.