Advised the parties to a merger of East Coast medical centers on the development of an integration plan and the incorporation of that plan into their antitrust defense strategy.

Assisted a Northeastern academic medical center and a large community hospital to develop an integration strategy in conjunction with federal and state antitrust and charitable trust reviews.

Advised an East Coast academic medical center on a series of seven acquisitions and affiliations over a period of six years, including informal FTC and state attorney general investigations.

Conducted an antitrust assessment of a strategic partnership plan involving a pediatric medical center and numerous community hospitals.

Advised on the formation of a major Atlantic Coast health system and the subsequent affiliation of two additional hospitals with the system, including responses to FTC inquiries. 

Continuing advice to a large Midwestern integrated delivery system on antitrust issues relating to an ongoing acquisition and growth strategy.
Representation of both parties in a state attorney general investigation of the combination of two large Northeastern health systems. The investigation closed without challenge.

Representation in Federal Trade Commission and state attorney general investigations of the acquisition of a community hospital by a well-known integrated delivery system in the Eastern U.S. Both investigations closed without challenge.

Defense of an FTC challenge to the merger of two prominent suburban hospital organizations serving a major Midwestern metropolitan area.

Representation in a Federal Trade Commission investigation of a 200-bed suburban hospital’s merger with a prominent health system competitor in a large Midwestern city. The investigation closed without challenge.

Defense of a nine-month Federal Trade Commission investigation related to the sale of a large Southwestern health system’s acute care assets to an in-market competitor. The investigation concluded without challenge.

Representation of a large Eastern U.S. multi-hospital health system in a 10-month investigation by the Federal Trade Commission and the state attorney general related to the acquisition of an in-market competitor. The investigations concluded pursuant to a negotiated consent agreement with the attorney general and without challenge from the FTC.

Internal assessment of a major health system’s exposure to antitrust claims and a variety of business tort claims stemming from business strategies adopted by the system, which prompted threats of litigation by a competitor.

Ongoing advice to integrated and non-integrated provider network organizations, including the clinically integrated network of a major Southeastern academic medical center, a variety of physician-hospital organizations (PHOs), and a pediatric independent practice association (IPA).

Advised a major academic medical center on the formation of a clinically integrated network involving its faculty and community-based physicians.

Preparation of a comprehensive antitrust audit for a large multi-facility health care system, examining the potential risks of various business strategies in light of its potential market power in different geographic and product markets, as well as the implications of various business strategies that might increase market share.

Representation of a large mid-Atlantic health care system in a Department of Justice investigation of marketing practices, which ultimately settled without a finding of liability.