$2.5B Health System with 7 hospitals and 20,000 employees located in both Connecticut and New York.Lead the legal negotiation, drafting and closing of the System’s strategic and complex commercial transactions, alliances, mergers, acquisitions and joint ventures with external stakeholders. Advise on related laws and regulations that may impact current transactions or strategic plan objectives. Trusted advisor to CLO and executive team, Department chairs, Hospital presidents, Risk, HR and Compliance on proactive strategies to further business success on intra-/entrepreneur innovations, Laboratory (in-reach and outreach) joint ventures, hospital-based service initiatives and Ambulatory Surgery Centers investments. Current matters include: Urgent care joint venture; development of orthopedic/sports medicine network; acquisitions of primary and specialty practices; gastroenterology ASC divestiture; Orthopedic ASC divestiture, pediatric hospital alliance and development of a multi-specialty ASC network.

$150M private-equity backed multi-specialty medical group, MSO and IPA.- Performed the function of Corporate Secretary and advised the CEO and executive team on corporate governance-related matters, best practices and maintained corporate records. Provided oversight and direction of all legal matters, including contracts, regulatory compliance, litigation and corporate compliance. Most work entailed leading strategic alliances, practice acquisitions, IT licensing and real estate investments. Completed 14 practice asset acquisitions and the formation of a physician-owned laboratory. Created legal diligence SOPs, template purchase agreements and a template database. Collaborated with HR investigations into gender discrimination, harassment, retaliation and theft; Assisted Chief of HR with new tiered compensation and bonus plan for new hires and revamped employment contracting processes.- Represented companies in negotiating carrier-issued insurance coverages; Assisted executive team with re-structuring a multi-state clinically integrated network and provided guidance on value-based enterprise models.- Supervised investigation and reporting of several potential false billing circumstances and unauthorized disclosures of HIPAA. Lead risk mitigation efforts including direct education and training, audit and crisis response.- Performed compliance analysis and education to company employees with federal, state and local laws, and industry regulations relevant to each company’s operations. Monitored changes in law and regulations. Recommended and implemented proactive strategies related to contracting, FMVs, non-solicitations and non-competes.

$12B Health System with 21 hospitals and 890 outpatient facilities-Lead legal counsel to: $800M Core Lab and their JVs/strategic affiliations in bio-banking/genetics, central IRB services and phlebotomy. - Formed Hofstra/Northwell Medical-Legal Partnership (free legal services for poorer families); and setup governance and committee structures and first meeting.- Corporate secretary to Staten Island PPS Board. Later setup its MSO and assisted with MA-managed contracts. Corporate Secretary to several JV boards.-Handled on-call patient-facing matters often emergent and system-wide concerning patient safety, medical ethics, subpoenas, litigation, data protection, licensure, worker’s compensation and tax matters. -Provided trainings/education/guidance to Depts and Divisions (ambulatory, finance, risk, executives, lab) on Anti-Kickback Statute, Stark Law, False Claims Act, HIPAA/Privacy, Licensing, Tax and other regulatory.-Supervised and managed projects of 3 lawyers and 2 paralegals.-Managed diverse caseload included: draft physician employment contracts (FTE, per diem, FT/PT, fellowship), single specialty PC acquisitions, space/equipment leasing, PC affiliations, education contracts, medical school matters, Sleep center vendor contracts, RFPs, Orthopedic ASC and Rehabilitation center definitive contracts, and direct-to-employer COVID-19 services. Advisor on matters concerning 3D printed devices, R&D in dental and orthopedic products, pharmacy arrangements (Pfizer / Astrazeneca), and early- startups in clinical call center, lab technologies, EMS, robotics, specialty pharmacy, medical waste, opioid addiction prevention.

- Lead legal counsel to $900M pay-for-performance DSRIP/Medicaid program (part of 5 co-owned LLCs). Oversaw provider partnerships (CBOs, physicians, SNFs), IT donations and tech transfer arrangements. With C. White, obtained NYS’s only Certificate of Public Advantage (COPA).- Lead legal counsel over the due diligence in acquisition of 3 hospitals (Phelps, Northern Westchester, Peconic Bay), and corresponding CONs and corporate resolutions.

Represented ACOs, IPAs, hospitals and group practices. During tenure seconded employee of Hartford Healthcare- handled practice acquisitions, clinical contracts, tech-transfer and IT licenses, and harmonized 17 departmental medical staff bylaws.

I was an associate attorney in the firm’s healthcare practice assisting physician practices, hospitals and other healthcare practitioners with a wide range of regulatory, compliance, risk management and reimbursement issues.

HIPAA preemption analysis of all Connecticut laws for State's Health Information Exchange