General Business Counsel

It may be Health Care – but you still have business issues to address. We’ve been in your shoes – and can provide practical and strategic counsel to get the job done.


We serve as general counsel to a variety of health care clients ranging from small physician groups to larger, multi-state nonprofit health care providers. Greensfelder experience in the industry – as lawyers and health care executives – can provide clients with the depth of insight necessary to effectively address any of the operational issues a health care organization may encounter on a day-to-day basis.

We develop and implement policies and procedures and advise health care providers on business issues regarding:

  • Agreements with vendors
  • Business associate agreements
  • Records release and retention
  • Consent to treatment, including advanced directives and powers of attorney
  • Patient confidentiality and health information/medical records release
  • Patient rights, including guardianship and involuntary commitment
  • Relationships with physicians
  • Risk management
  • Self-insurance

Our key areas of business counsel include:

  • Mergers & Acquisitions / Business Transactions: Through work inside health care organizations and as outside counsel, we can be the go-to advisors, providing clients with comprehensive, practical advice regarding: forming health care entities and systems; developing and implementing contractual arrangements, including management and affiliation arrangements; transacting mergers and acquisitions; and restructuring or unwinding health care entities and systems.
  • Managed Care: Hospitals, physicians, HMOs, PHOs, PPOs, and community health payors rely on us for assistance with managed care contracting and state and other regulatory compliance issues, including Medicaid and Medicare Part C and D agreements. We draft, negotiate, and review traditional and risk-based managed care agreements for hospitals and physicians and develop arrangements for the direct provision of health care services to beneficiaries of self-funded plans. We also have considerable experience in resolving contractual and payment disputes with payors.
  • Tax & Tax-Exempt Issues: We have extensive experience with tax matters for health care organizations and related charitable and other tax-exempt organizations. We can assist clients with obtaining and maintaining tax-exempt status, while addressing issues such as:
    • Compliance with state nonprofit laws
    • Intermediate sanctions
    • Physician recruitment and practice support
    • Private benefit and inurement
    • Reorganizations
    • Tax-exempt financing
    • Unrelated business tax issues
    • Charity care
    • Executive compensation


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