Law Office of Susan F. Zinder, PLLC

Law Office of Susan F. Zinder PLLC

646-380-6715

Relevant Practice Areas — Corporate Counsel

Contracts:

  • Drafted, reviewed, negotiated and closed over $500 million in healthcare financing agreements on behalf of borrower/lessee clients, including, among others:
  • $2 million unsecured facility
  • $6 million bridge facility for construction and biomedical equipment
  • Over $15.5 million working capital and equipment term loan facility
  • Numerous capital and operating equipment lease financings
  • First New York State obligated group tax-exempt mortgage bond financing (original principal amount of $280 million)
  • Negotiated negative pledge and consent agreements with the Dormitory Authority of the State of New York (DASNY), the United States Department of Housing and Urban Development (HUD), and other lenders
  • Reviewed and advised upon over $12 million in multiple grant agreements for New York City Council capital allocation funding administered through the New York City Department of Health and Mental Hygiene
  • Advised upon and completed numerous New York City VENDEX and New York State Vendor Responsibility Questionnaires on behalf of clients
  • Negotiated agreement for revenue cycle consulting and associated software resulting in over $3 million annual accruing benefit to the client
  • Negotiated various real estate leases, as well as licenses
  • Drafted, reviewed and successfully negotiated information technology license, support and maintenance agreements for numerous onsite, remote and web-based systems, including, without limitation:
  • Electronic Medical Records (both departmental and institution wide)
  • Finance and Billing Systems
  • Clinical and Ancillary Systems
  • Guided client’s executive team and board through negotiations for new systems and fixes to achieve client’s Meaningful Use
  • Successfully negotiated the replacement of a hospital’s complete information technology infrastructure platform
  • Negotiated the separation of an institution’s information technology platform from that of its former affiliate
  • Negotiated agreements (and governing documents) for participation in regional health information exchanges (“RHIOs”)
  • Prepared and negotiated numerous physician employment agreements, representing both physicians and hospitals, and developed model agreements for hospital client
  • Drafted and negotiated professional services agreements
    Prepared model paid and unpaid on-call agreements and associated policies and procedures, including billing policies
  • Negotiated $4.5 million sale of certified home health agency (“CHHA”)
  • Negotiated various resident student training agreements
    Drafted and negotiated various strategic affiliation agreements, including agreements for unit coverage, training, backup transfers and shared core laboratory operations
  • Negotiated agreement for revenue cycle consulting and associated software resulting in over $3 million annual accruing benefit to the client
  • Negotiated various biomedical equipment agreements, including, among others, agreements for CT and MRI systems, and their related interfaces with the hospital client’s radiology information system

Operations:

  • Implemented an institution wide contracts management system (including the development of associated contracting policies and procedures)
  • Oversaw Stark/AKS initiative of physician compensation and contracting policies and procedures
  • Designed shared database agreement structure for multi-hospital laboratory system
  • Prepared various institutional policies and procedures including those relating to contracting and signature authority
  • Led multidisciplinary initiative to address specific quality concerns that were resulting in, among other things, increased litigation and financial exposure for the organization
  • Designed a risk and claims management infrastructure
    Trained senior and middle management team members, as well as medical staff members, on multiple matters, including contract review to enable more effective contracting practices, compliant medical records practices, corporate compliance, etc.
  • Formed New York not-for-profit and tax exempt entities and filed 1023 applications on their behalf, in addition to forming “captive p.c.s” and other subsidiary organizations
  • Developed institutional intellectual infrastructures through the restatement of corporate bylaws, the development of various policies and procedures, and the organization of documents and materials critical to maintain institutional memory for operational compliance

Regulatory Affairs:

  • Designed and implemented institutional codes of conduct, including policies and procedures on HIPAA compliance, conflicts of interest, etc…
  • Advised upon and completed numerous New York City VENDEX and New York State Vendor Responsibility Questionnaires on behalf of clients doing business with city and state agencies
  • Led initiatives for the restatement of medical staff bylaws of multiple institutions (including the drafting thereof)
  • Designed and implemented first enterprise-wide corporate compliance program for a major New York health system
  • Redesigned hospital credentialing and due process processes to ensure compliance with Medicare regulations and Joint Commission standards
  • Oversaw review of emergency department operations to ensure legal and regulatory compliance
  • Advised upon HIPAA compliance program, and drafted, negotiated and revised various policies, procedures and business associate agreements
  • Conducted compliance review of large physician practice

Crisis Response:

  • Guided not-for-profit board through independent institutional investigations alleging senior management employment related misconduct
  • Coordinated response to excess insurer’s late declination of coverage for a claim posing a potential $15 million liability exposure resulting in no cash outlay by the client
  • Prepared plans of correction in response to state and federal statements of deficiency received by client (including governing body citations) and developed a template for addressing future citations
  • Coordinated response to governmental audit of over 5 years home health claims which resulted in a payment of approximately $7,500 compared with an initial exposure of over $7 million

Governance:

  • Modernized not-for-profit corporate structure through the amendment and restatement of corporate Bylaws and other board level corporate policies and procedures (including, among others, those associated with fundraising)
  • Structured governing board, its meetings and recordkeeping so as to promote and facilitate the board’s operations and oversight, and thus the organization’s compliance with federal and state legal expectations for not-for-profit boards and institutions, as well as with applicable accrediting standards
  • Implemented enhanced board level and institutional conflicts of interest policies and procedures within New York not-for-profit organizations
  • Trained board members on oversight responsibilities under New York and federal law, particularly as it related to oversight of quality and compliance activities
  • Prepared board orientation materials
  • Advised boards on strategic and other issues to ensure operations consistent with corporate purpose and mission
 

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