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Tom provides advice to hospitals, medical groups, long term care facilities and life science companies on corporate transactions, Stark, Anti-Kickback and all other health care law and regulatory matters.  He is experienced with private equity acquisitions, clinically integrated networks, service line co-management, gain sharing, medical staff bylaws, physician relations, mergers and acquisition of medical groups, corporate governance, acquisitions of outpatient and ancillary facilities, strategic alliances and joint ventures, the establishment of provider-based facilities, executive employment agreements, Medicare compliance, contracting, and employment matters.

Tom is the former team leader of the firm’s Health Care Innovation team.

Other Info About Tom

Work History

Prior Work Experience

Former CEO PacifiCare of Ohio, Inc., (now part of United Healthcare), PacifiCare Senior Leadership Council, PacifiCare Health Services Council, and PacifiCare of Ohio Board of Directors, 1998 – 2001.

Former executive vice-president, chief legal officer and secretary, ChoiceCare, formerly Greater Cincinnati’s largest health maintenance organization. Member of senior executive team. Legal responsibilities included ChoiceCare’s initial public offering and $250 million merger with Humana, 1996 – 1998, and creation of the Impact for Health Foundation.


Legal Work Highlights

Represented major multi-hospital system in the creation and establishment of multiple innovative arrangements with medical groups including clinical co-management, centers of excellence, and clinical institutes.

Represented many medical groups in merger/acquisition transactions with health systems and private equity buyers.

Represented data analytics life sciences company in private equity transaction establishing platform entity.

Represented a tax-exempt health care system in the creation of a new $250 million health care campus and the closing of its existing campus, including the sale of over 10 medical practices, a long-term care facility, and other ancillary health care businesses associated with the old campus.

Served as neutral transactional attorney resulting in over a dozen successful acquisition transactions involving health systems and medical groups.

Served as strategic planning consultant to many organizations.

Represented a for-profit hospital in the sale of its facilities, valued over $100 million.

Represented a medical group of over 115 multi-specialty physicians with 12 offices, an ambulatory surgical center, an MRI diagnostic facility, a pharmacy and other ancillary facilities in its acquisition by a large urban health care system.

Represented a region’s largest multi-specialty medical group with 9 offices, an ambulatory surgical center, an imaging center and other ancillary facilities in its merger with a large health care system.

Represented a physician-owned hospital in its acquisition of a large outpatient surgery center and the subsequent qualification of the surgery center as a “provider-based,” hospital out- patient department, facility of the hospital.

Represented a health system in the formation of joint venture between a health system and private investors to own and operate imaging centers.

Represented major urban health system in creation of clinically integrated physician-hospital organization focused on value based payment arrangements.

Represented the purchaser in acquisition of multi-state long term care chain.


Law School

Case Western Reserve University School of Law, J.D., 1977

Undergraduate School

Miami University, B.S., 1974

Bar Memberships

Tom is licensed to practice in the following state(s):

Ohio , 1977


Local & National Recognition

The Lawyer Network, Health Care Attorney of the Year – Ohio, 2021

The Best Lawyers in America® Health Care Law, 2008-2022; Cincinnati Health Care Law “Lawyer of the Year,” 2018

AV Preeminent Rating, Martindale-Hubbell

Chambers USA, Healthcare, 2012-2021

Top Rated Lawyers in Mergers and Acquisitions, The American Lawyer and Corporate Counsel, 2012 and 2013

Featured in Top Rated Lawyers Guide to Health Care Law, Corporate Counsel Magazine

Corporate Intl Magazine Global Award, Health Care Attorney of the Year in Ohio, 2017 and 2019

Who’s Who in America®, 1994 – present

The White House Fellowships, Regional Finalist, 1983

Who’s Who in American Law®, 1979 – present

Who’s Who in Health Care®, 1997 – present

Emerging Leaders of America, 1987 – 1999

Rising Young Americans, 1991 – 2001

Professional Affiliations

Professional Affiliations & Memberships

Cincinnati Bar Association

Ohio State Bar Association

American Bar Association

American Bar Association Health Care Section, Member, 1994 – present

Planning Committee of Emerging Issues Seminar Committee, Member, 2008 – 2013

American Bar Association Section of Taxation, Former Member

American Health Lawyers Association, Member, 1985 – present; Presenter at Annual Meetings in 1998 and 1995; Presenter at joint meeting of the American Medical Association and AHLA on buying/selling medical businesses, May 1992

The National Managed Health Care Congress, Executive Advisory Board Member, 2000 – 2003

American Association of Health Plans, Subcommittee on Performance Measures, Member, 1998 – 2004

Ohio State Bar Association, Health Care Section and Insurance Law Committee, Member; Special committee on modifications to Ohio Certificate of Need law, Member, 1994 – 1996; OSBA/Ohio Hospital Association Committee on Workers’ Compensation and insurance issues, Member, 1995 – 1997; Health Care Law Committee, Member, 1999- present

Cincinnati Bar Association, Tax Section, Chair, 1993 – 1994; Health Care Law Committee, Member

Civic Activities

Civic & Charitable Organizations

Health Collaborative, Chair of the Board, 2021 -, Treasurer and Chairman of Finance Committee, 2007 – 2020.

Playhouse in the Park, Board Member, 2006 – 2013; Finance Committee Corporate Giving Committee

Life Enriching Communities (senior living operator), Finance Committee, 2013 – 2019.

Association for Corporate Growth, President 2009 – 2010; President-Elect 2008-2009; Board Member, 2006 – present; Program Planning Committee, 2006 – present

Cincinnati Nature Center, Board Member; Strategic Planning Committee; Land Acquisition Committee; Involvement 2002 – 2014.

American Heart Association, Cincinnati Chapter, Board Member; Corporate Cabinet; Golf Outing Committee; Nominating Committee; Involvement: 1996 – 2012.

Children’s International Summer Villages, Organization devoted to fostering international peace and understanding through exchange programs. 19 U.S. Chapters, 147 Chapters in 65 nations; National Board of Trustees, 1981 ‑ 1984; National Finance Chair, 1982 – 1984; National Parliamentarian, 1984; Cincinnati Chapter President, 1982 – 1984; Chapter Fundraising Chair, 1979 – 1980, 2000 – 2001; Legal Counsel, 1979 – present; Risk Management Committee; Involvement: 1979 – present

Firm Committees

Tom serves or has served in the following leadership role(s) at Frost Brown Todd:

Strategic Planning Committee, former Member

Recruiting Committee, former Member

Heath Care Innovation, former Team Leader

Corporate Department, former Co-Chair


Tom was invited to speak at the following events:

“Top 10 Points of Successful Physician-Health System Affiliations,” Physicians Legal Issues: Healthcare Delivery & Innovation Virtual Conference, September 22, 2021.

“Gainsharing Arrangements,” Coffee with Coker podcast, May 25, 2021.

“Top 10 Considerations to Assure Successful Physician Health System Affiliation”  American Association of Integrated Healthcare Delivery Systems, April 21, 2021.

“New Strategies in Service Line Co-Management, Case Studies of Turning Conflict into Partnering “ American College of Health Care Executives, March 2021.

“Three Decades of Affiliation Strategies for Academic Medical Centers and Teaching Hospitals, What Have We Learned? American Health Lawyers Academic Medical Centers Program, January 25, 2021.

“Private Equity Transactions for Ophthalmology: Answers to the What? Why? And Who? Questions “  American Academy of Ophthalmology, October 2020.

“Have the Rules Changed for Compliance for Healthcare Provider Transactions Over the Past Three Decades?” The Annual Meeting of the Health Care Compliance Association, August 18, 2020

“How do Hospitals Respond to Private Equity Physician Deals?” The Annual Meeting of the Healthcare Financial Managers Association, June 24, 2020

“Best Practices for Establishing and Running a Post-Acute Care Network” American Health Lawyers Association, Long Term Care and the Law, San Diego, California, February 23, 2017

“T. Management Services Organizations: Best Practices and Major Obstacles” American Health Layers Association, Nashville, Tennessee, May 18, 2016

Major Publications

Tom is an author or contributor to the following publications:

Contributing Author, Physician Leadership’s Affiliation Options for Physicians: Current and Future Strategies, Chapter 15 – Legal and Regulatory Considerations. August 14, 2020.

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