Health Systems & Hospitals


GW represents over 70 hospitals in the tri-state region, from central New Jersey to eastern Connecticut, and from Montauk Point to the Hudson Valley. Many are members of health care systems, while others are individual hospitals. All receive the same level of attentive service. Many of these relationships date back to the earliest days of the firm, some thirty years ago.

As with all of our clients, the breadth and depth of our experience is a major selling point for our hospital clients. We do it all. And yet despite our reputation, we sometimes find that our own clients are not aware of just how broad that experience is. As you can see from the list below, it spans nearly every facet of the hospital industry:

Mergers/Acquisitions/Joint Ventures

  • Strategic planning
  • Regulatory approval
  • Contract negotiations

Health Care Delivery Models

  • ACO, IPA, PHO formation
  • Provider contracting
  • Clinical integration, including Electronic Health Records

Corporate Governance

  • Board of Directors, including executive compensation limits
  • Conflicts of Interest
  • Not-for-Profit Laws, including fund-raising
  • Financial Aid Policies


  • Corporate compliance programs and training
  • Governmental Audits, including RAC Audits
  • CPT and chargemaster analysis
  • Medicare and Medicaid billing, False Claims and Civil Monetary Penalty Issues
  • "White collar" defense under Federal and State law


  • Compliance analysis
  • Development of Compliance Manual, educational and oversight programs
  • Data breach mitigation; responses to government audits and breach investigations

Information Technology

  • Electronic Health Records
  • Hardware and Software Contracts

Managed Care

  • Contract Negotiations
  • Contract and Claim Disputes
  • Contract Terminations, Hearings
  • Third-Party Payor Audits

Medical Staff/Credentialing

Physician Contracting

  • Employment Agreements
  • Independent Contractor Agreements
  • Restrictive Covenants
  • Anti-trust; Stark; Anti-kickback Counseling

Real Estate/Finance

  • DASNY, MCFFA, HUD, IDAs and other governmental non-taxable issuers
  • Equipment acquisition and leasing
  • Sale, lease and construction of medical offices and other health care facilities
  • Real property tax matters for both tax-exempt and taxable owners
  • Tax-exempt and taxable financing transactions
  • Special advice on healthcare regulatory issues in varied financing transactions


  • Environmental due diligence and compliance audits
  • Negotiating clean-up agreements with regulatory agencies and contractors
  • Environmental compliance advice, including hazardous and regulated medical waste


  • Human Resources issues
  • Compliance with state and federal wage, safety, overtime, and discrimination laws.
  • EEOC, Labor Department, Human Rights investigations

Corporate Reorganization and Bankruptcy

  • Preparation and prosecution of Chapter 11 cases for corporate debtors
  • Debtor-in-possession financing

Discharge Planning and Patient Rights

  • DNR, Health Care Proxy issues
  • Behavioral health units, including admission, retention, treatment over objection
  • Guardianship proceedings
  • Confidentiality and disclosure of medical records
  • Incident reporting