Articles and Blogs

Baltimore City (MD) announced a $48M PILOT (payments in lieu of taxes) agreement with several hospitals and universities. Under the agreement, annual PILOT payments by hospitals and universities will grow from $6M to $12M. Hospitals signing the agreement include Johns Hopkins Hospital, University of Maryland Medical Center, MedStar Hospitals, Sinai Hospital and Grace Medical Center….Read More

The Fourth Circuit Court of Appeals (“Fourth Circuit”) recently heard oral arguments in National Association of Diversity Officers in Higher Education v. Donald Trump (“NADOHE v. Trump”), a case challenging the constitutionality of certain aspects of President Trump’s anti-diversity, equity and inclusion (“DEI”) executive orders, including Executive Order 14151, Ending Radical and Wasteful Government DEI…Read More

UnitedHealth Group Inc. has completed its $3.3B acquisition of Amedisys, a company that operates over 500 home health and hospice sites throughout the country. During a recent U.S. House of Representatives subcommittee hearing, legislators criticized tax-exempt hospitals for failing to provide adequate charity care and community benefits in excess of the estimated $37.4B in tax…Read More

In an effort to intensify their efforts against health care fraud, the U.S. Department of Justice (“DOJ”) and the Department of Health and Human Services (“HHS”) announced on July 2, 2025, the creation of a DOJ-HHS False Claims Act (“FCA”) Working Group (the “Working Group”). While DOJ and HHS have a long history of collaborative…Read More

The Federal Reserve cut the federal funds rate by a quarter-point and projected it would do so twice more this year. Federal Reserve Chair Jerome Powell cited labor market constraints as a primary driver for the cut. Cleveland Clinic sold 24 outpatient facilities in a $350M sale-leaseback transaction. Twenty of the properties are located in…Read More

On September 10, 2025, the Federal Trade Commission (“FTC”) issued a press release announcing that letters were sent to health systems and health care staffing companies warning against the use of “unreasonable” non-compete clauses or other restrictive covenants in their employment agreements. The letters also strongly suggest that recipients conduct a review of their employment…Read More

In United States ex rel. O’Laughlin v. Radiation Therapy Services, P.S.C., the Sixth Circuit (also referred to as the “Court”) recently affirmed dismissal of a relator’s False Claims Act (“FCA”) action, concluding that he failed to plead or prove with particularity that radiation service providers submitted false claims for radiation or chemotherapy services, relying instead…Read More

While institutional investor groups are a major acquirer of medical outpatient buildings (MOBs), the past 18 months have seen a surge in “reverse monetizations” where hospitals and health systems are buying (or buying back) such buildings. Hospitals purchased $2.8B worth of MOBs in 2024 and $761M in 1H 2025, accounting for about 23 percent of…Read More