•Advised executives, managers, and various departments on broad range of legal, business, and strategic issues.•Negotiated and approved medical device, managed-care, technology, real estate, purchasing, affiliation and other various contracts, including Compliance with Stark, Anti-Kickback, healthcare fraud and abuse prevention, HIPPA and HITECH laws.•Reviewed group purchasing and distribution agreements for multi-hospital Group Purchasing System that included a major academic medical center and 3 community hospitals and their affiliated service organizations/corporations.•Reviewed, drafted, and advised on all transactions, including network provider, infusion therapy, purchasing, technology, and other agreements for Rush pharmacy services provider with 4 locations. •Applied legal research to hospital and business operations to minimize risk and pursue objectives.•Represented Hospital before government agencies and regulatory boards in various legal matters. •Reviewed and drafted joint venture and integration agreements between related entities to increase efficiency.•Advised Medical Staff regarding various issues with credentialed physicians and amendments of Bylaws and Rules and Regulations.•Negotiated settlements in business and contractual disputes prior to commencing litigation.•Drafted and revised policies and procedures in response to legislative and regulatory changes and to ensure compliance with applicable laws and regulatory requirements. •Supported the development and drafting of key integration and technology agreements, such as the electronic medical records software implementation agreements, the master participating physician agreement, and the clinical integration agreement, for physician-hospital organization comprised of over 800 physicians and allied health professionals.