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.

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 service organizations and employment arrangements.

Served as lead counsel for a large North Carolina health system in its acquisition, affiliation 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.

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 partial sale of their practice structured through a management services organization arrangement.

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 for the purpose of testing innovative payment and service delivery models to reduce dialysis medical costs while maintaining or improving the quality of care.

Represented two large physician practices in the Carolinas in the formation of separate joint ventures to monetize proprietary technology and services, which will 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 North Carolina orthopedic practice in structuring a joint venture to provide management services to orthopedic practices and hospital orthopedic service lines across the country.

Provide strategic, operations and compliance counseling to hospitals and health systems and ancillary service providers in connection with federal and state surprise/balance billing and price transparency laws and initiatives.

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.

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

Counseled a large physician practice regarding creation of remote physician workforce, including creating a blueprint of key regulatory and licensure issues.

Prepare and customize compliance programs (including telehealth informed consent documentation and operational plan development) for provider telehealth programs.

Advise and assist with drafting and negotiation of telehealth-related contract negotiations (e.g., with providers, payors and telehealth technology companies).

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

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.