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San Francisco Direct: 415.291.7437 General: 415.291.7400 Fax: 415.291.7474
Santa Clara University School of Law, J.D., magna cum laude, 1977.
Editor, Santa Clara Law Review, 1977.
Stanford University, B.A., philosophy, with distinction, 1973.
Mr. Higgins’ practice combines large-scale corporate, M&A and finance transactions, with medical sector regulatory and compliance expertise. Known for his practical and direct style, clients often turn to him for strategic consulting advice, which he integrates with the legal perspective. Mr. Higgins brings creativity and experience to representing multi-hospital health systems, health plans, ambulatory and specialty providers, and large physician groups. He has completed significant healthcare merger, acquisition, divestiture and reorganization transactions, as well as scores of physician integration initiatives throughout the country. Mr. Higgins also has expertise in academic medical centers and in faith-based healthcare organizations.
Mr. Higgins is the published author of numerous articles on healthcare, corporate and finance issues and is a frequent speaker at professional programs and board retreats.
Mergers & Acquisitions
Represented buyers and sellers as lead counsel in 40+ large-scale healthcare merger, acquisition and divestiture transactions, including acquisitions in bankruptcy.
Represented a prominent New York private equity firm in the acquisition and conversion of a nonprofit faith-based health system in Massachusetts.
Represented a large public academic medical center in a unique affiliation with a private children’s hospital.
Created the first California hospital system funded by private equity.
Implemented the first public-to-private district hospital conversion in California.
Physician Integrated Systems
Planned and negotiated multiple physician integration and alignment initiatives, including development of clinically integrated networks.
Counsel academic medical centers in physician network development and expansion.
Designed the corporate and governance structures for physician-integrated healthcare systems in California, Colorado, Missouri, Nevada, and Texas.
Represented physician organization in multiple sale transactions.
Corporate Organization & Governance
Headed the legal team for a 3-state hospital system reorganization involving the consolidation of over 25 hospital operating corporations.
Originated the corporate structure of the largest nonprofit health system in the Western U.S.
Designed and implemented the organizational structures for evolving faith-based health systems to mixed religious and secular systems.
Advised multi-hospital systems throughout the U.S. on organizational structure.
Represented hospital and health system borrowers in approximately 100 public and private finance transactions exceeding $18 billion, including bond transactions, bank loans, letters of credit, liquidity facilities and swap transactions and master trust indentures.
Represented hospital and health system clients in default avoidance, covenant amendments, pre-bankruptcy negotiations and workouts.
Regulatory Compliance and Internal Investigations
Coordinated large-scale reviews of healthcare regulatory compliance issues related to referred-source business and financial relationships.
Conducted internal investigations regarding corporate and legal compliance issues, and managed valuation and corrective action implementation projects.
Represented clients before the Department of Justice, Federal Trade Commission, Internal Revenue Service, CMS, the Departments of Health of multiple states and other regulatory and enforcement agencies.
Chambers USA, “Top Healthcare Attorneys in the U.S.,” 2014.
Named in Best Lawyers in America, 1991-2015.
Admitted to practice in the state of California.
Former member of Board of Directors, American Health Lawyers Association, 1998-2002.
Former adjunct Professor, University of California Berkeley, School of Law, healthcare law and policy.
Former Chairman of the Board of Directors, Resurge, an international medical charity for children, board: 2000-2012, chair: 2006-2012.
Former member, Editorial Board, BNA Health Law Reporter.
Former member of Board of Directors, American Heart Association, San Francisco.
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