Tom Stukes is one of North Carolina’s most experienced healthcare transactions attorneys, having counseled clients in numerous M&A deals, consolidations and restructurings for medical centers and other health care providers. Tom has helped form some of the largest hospital systems in the state during his nearly 40-year career. , Tom also represents academic medical centers as well as other healthcare providers and provider networks throughout the country.
His work includes acquisitions, sales, mergers, consolidations, conversions and restructurings of public, nonprofit and for-profit clients. He also advises on joint ventures among hospitals, physicians and other healthcare providers. Tom has been instrumental in the formation of a number of the largest hospital systems in North Carolina. Hospitals, healthcare systems and other health care providers regularly consult with Tom in connection with state and federal healthcare regulatory matters. These include regulatory compliance; government investigations; voluntary disclosures under the CMS and OIG self-disclosure protocols involving potential violations of the Stark Law and the Medicare Fraud and Abuse Anti-kickback Statute; and Medicare and Medicaid MAC and RAC repayment audits and voluntary repayments.
The North Carolina Hospital Association and the North Carolina Medical Society presented Tom with the pen that Governor James B. Hunt, Jr. used to sign into the law health care legislation which enabled the development of risk based provider sponsored health plans in North Carolina.
Any result the lawyer or law firm may have achieved on behalf of clients in other matters does not necessarily indicate similar results can be obtained for other clients.
- Advised one of the largest hospital companies in the US on several innovative joint ventures.
- Advised academic medical centers across the country on financial transactions and arrangements, compliance with government regulations, and reimbursement issues.
- Represented clients in numerous whistleblower cases involving Medicare and Medicaid. These engagements have involved hundreds of millions of dollars of government program reimbursements.
- Represented a number of leading North Carolina hospitals in a $400 million dispute with the federal government over Medicaid DSH payments and recently represented a client in the largest settlement to date under the CMS self-disclosure protocol under the Stark Law.
- Represents one of the first accountable care organizations approved by the Centers of Medicare and Medicaid Services under its Medicare shared savings program.
- Advised health systems on the formation and operation of provider sponsored health plans