John F. Sullivan
Shareholder
Co-Chair, Health Law Practice Group
Direct Dial: 425.450.4234
Fax: 425.635.7720
Email: jsullivan@insleebest.com
PRACTICE EMPHASIS AND EXPERIENCE
Business
Health Law
Litigation
Real Estate |
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John has been practicing law for over 20 years. His practice focuses
on a broad range of health law matters with an emphasis on issues concerning acute
care and long-term care facilities. As a frequent speaker to health care
organizations, John is recognized for his extensive knowledge of health care legal
matters. He advises his clients on areas including Medicare and Medicaid reimbursement,
corporate compliance plans, HIPAA, Stark compliance, fraud and abuse issues, certificate of need, sale and
acquisition of health care facilities and practices, licensure and certification matters,
and personnel issues. John frequently speaks and writes on the countless legal
issues faced by the health care industry.
REPRESENTATIVE MATTERS
Non-profit Hospital Conversion. Worked on a certificate of need and conversion application
process as part of client's acquisition of a major non-profit health system and its conversion to a for profit
status. This was only the second non-profit hospital conversion in the state of Washington.
Life Care Centers of America, Inc. et al. v. DSHS Successful challenge to the State of Washington's
calculation of the inflation adjustment for nursing facility medicaid rates. The judgement in this case resulted in an
award to my client of approximately $6 million. Similar relief was later extended to all nursing facilities in the State of Washington.
Regency Pacific, Inc., et al. v. DSHS. Counsel for a class of approximately 300 nursing
facilities that challenged the Medicaid agency's calculation of the case mix index used to determine facility
Medicaid payments. This action resulted in a $15 million lump-sum settlement to the class, together with a
prospective change in the Department's practice of determining Medacaid eligibility for nursing facility residents.
Allenmore Pharmacy, Inc. v. DSHS. Served as co-counsel for the plaintiffs in a 2000-member class
action suit against the State of Washington Medicaid program for inadequate reimbursement to Medicaid-participating
pharmacies. Resulted in a settlement in the amount of $11 million.
Valley Hospital Ass’n v. State of Alaska, 116 P.3d 580 (Alaska 2005). Represented Hospital
in case where the Supreme Court of the State of Alaska held that the Medicaid agency had violated the hospital’s
procedural due process rights when applying a new regulation to set the hospital's rates.
In re Charter North Behavioral Hospital. Medicaid rate appeals addressing complex reimbursement
issues. Resulted in additional Medicaid payments to the appellant facility of $4.5 million.
Alaska Medicaid Fraud Audit. Represented an acute care facility charged with Medicaid fraud. The
State of Alaska Medicaid Program demanded that the facility pay $1.8 million together with investigative costs and interest. The
fraud allegations were ultimately withdrawn, and the matter was resolved with a $53,000 payment from the facility.
First American Title Co. v. Weinstein, et al. Represented plaintiff in a commercial case involving
extensive electronic billing data and documentation. Prevailed on summary judgment resulting in a $550,000 settlement to the plaintiff.
EDUCATION
Gonzaga University, J.D., magna cum laude, 1985
Carroll College, B.S., 1982
PROFESSIONAL AND CIVIC INVOLVEMENT
American Health Lawyers Association, Member
Washington State Bar Association, Member
Alaska State Bar Association, Member
BAR/COURT ADMISSIONS
Admitted Alaska, 1990
Admitted Washington, 1985
PERSONAL
John coaches a variety of youth sports and enjoys skiing and golf. |