Edward L. Barker

Healthcare Transactions

• Acted as lead counsel and responsible executive team member in numerous large-scale healthcare merger, acquisition and divestiture transactions, including for-profit, nonprofit, public, private, academic, religious and secular entities. Involved in transaction planning, approval and implementation, and ensured that plans' original goals and objectives were met successfully and without difficulty.
• Led purchase of Silver Bow Community Hospital in Butte, Montana.
• Oversaw sale of DePaul Hospital, a Catholic institution in Cheyenne, Wyoming, to local county hospital.
• Managed purchase of Providence Medical Center, Physician Resources of Kansas and Providence Place Inc., part of diocesan hospital system in Kansas City, Kansas.
• Purchased on client's behalf Hilltop Rehabilitation Hospital, a local stand-alone ancillary service provider in Grand Junction, Colorado, and steered its successful integration into hospital operations.
• Created Exempla Healthcare, a two-hospital healthcare system in Denver, Colorado, that grew in size and complexity and 11 years later required conversion of ownership, management and operations. Served as lead counsel during dispute with local board resulting in arbitration, takeover and successful consolidation.
• Purchased Holy Rosary Hospital and related operations in Miles City, Montana, and led its subsequent conversion to critical access hospital.
• Purchased Healthcare of America's for-profit hospital, Bethany Medical Center in Kansas City, Kansas, and oversaw its clinical service consolidation at Providence Medical Center.
• Developed joint venture between Jewish and Catholic healthcare providers to collaboratively provide patient care in both inpatient and outpatient settings at Saint Joseph Hospital in Denver.
• Hosted and moderated the HB webinar on public/private partnership used in healthcare by AMCs and others to finance campus and facility renovations.
• Developed and implemented clinical joint ventures with AMCs.

Healthcare Operations

• Created new Catholic canonical entity, Leaven Ministries, as sole canonical sponsor of multistate health system; provide ongoing legal advice.
• Originated and operated systemwide risk finance and management program, which has self-insurance structure, common occurrence reporting, patient safety committee, standard patient safety plan, self-administered claims and safety event reporting, resulting in operation's consistent top-two ranking for total cost of risk.
• Created and implemented systemwide standard process, management and tools for physician contracting and integration efforts.
• Participated in creation of Kansas City Tri-Source Insurance Co., an HMO, with six hospitals and their physician organizations; served on board of directors.
• Helped create systemwide multistate financing structure that resulted in single obligated group debt structure and industry-first master trust indenture.
• Created, operated and became president and board chair of Leaven Insurance Co., a single-parent company in Cayman Islands that had great operational flexibility in primary retention, reinsurance, self-insurance trust, excess and umbrella program with domestic and foreign commercial insurers.

Provider Alignment and Integration

• Created fully integrated entity for Denver physician group, Primera Healthcare LLC.
• Created local limited liability company, MedMap LLC, that subsequently became vehicle for physician-hospital integration and investment activities, including medical office buildings, lithotripsy services, and clinically integrated and back offices services.
• Participated in creating Yellowstone Community Health Plan, the first Montana HMO owned, operated and governed by local hospital and community.

Healthcare Compliance Counseling & Defense

• Represented health systems before U.S. Department of Health and Human Services, U.S. Department of Justice, Federal Trade Commission, Internal Revenue Service, Centers for Medicare and Medicaid Services, multiple state health departments and other regulatory and enforcement agencies.
• Created and operated multistate health system's corporate integrity program and became its first corporate integrity officer.