Thomas Shapira focuses on advising clients on mergers and acquisitions and various corporate issues. A significant component of his practice is devoted to representing physicians and other healthcare professional groups in practice sales and acquisitions, the formation and/or consolidation of medical practices, and the establishment of office-based laboratories and concierge/retainer practices. 

Tom has worked with healthcare providers to address numerous operational issues, including the creation of exclusive provider arrangements, hospital/physician joint ventures, and preparation of physician employment, compensation structures, and governance agreements, as well as managed care provider agreements and the establishment of ancillary services and facilities. He has drafted physician and dental practice management service agreements and negotiated settlements and spin-offs of physician practices. Tom has also formed new corporate and limited liability companies in various jurisdictions and drafted and re-negotiated operating and shareholder agreements for these entities.

Tom has extensive experience representing corporate clients in merger and acquisition transactions, employment agreements, and buy-sell, operating, and other organizational documentation. These clients represent a broad spectrum of industries, including public relations, media and marketing, physical therapy, long-haul shipping, home furnishings, public transportation providers, insurance agencies, professional service practices, investment management, food brokerage, software providers, real estate development, liquor distribution, for-profit universities, not-for-profit foundations, business consulting, publishing, cannabis growth and distribution, credit card/payment processing, ice cream novelties, printing supplies, IT services, industrial/commercial packaging, hospitality, and retail sales.

An integral part of Tom’s practice routinely involves advising healthcare clients on the impact of, and compliance with, state and federal statutes and regulations related to self-referral, fraud and abuse, and false claims. He has evaluated healthcare business and marketing strategies from a regulatory perspective, including state licensure issues. He has analyzed the impact of federal and state reimbursement policies, such as successor liability issues/options related to the assumption of Medicare provider agreements, as well as negotiated false claim settlements and analyzed physician recruitment arrangements.

In the context of institutional healthcare providers, Tom has represented numerous hospitals and health systems in connection with mergers and acquisitions, exclusive provider agreements, residency programs, and tax-exempt financing. Specifically with respect to hospital medical staffs, Tom has assisted in physician peer review matters and prepared medical staff presenters and witnesses for medical staff hearings. He has revised medical staff bylaws to ensure compliance with state and federal laws involving the fair hearing process, peer review immunity, and confidentiality. He has also counseled clients on matters related to physician credentialing.

Health Care Specialties and Subspecialties Represented:

Orthopaedics, Urology, Dermatology, Fertility Medicine (and related services), Radiology, Cardiology, Internal Medicine, Gastroenterology, Concierge Medicine, Pediatrics, Urogynecology, Neurology, Otorhinolaryngology, Endodontics and Periodontics, Endovascular Surgery, Podiatry, Plastic Surgery, Family Medicine, Obstetrics and Gynecology, Pain Management, Ophthalmology, Pathology, Dentistry, Emergency Medicine, Mail Order Pharmacies, Psychiatry, Gynecologic Oncology, Hospitalist Medicine, Chiropractic Medicine, Psychology/Professional Counseling, Physical/Occupational Therapy, Veterinary Medicine