Overview

Terri Rambosek is a seasoned health care attorney with extensive experience advising hospitals and health care systems, physicians and medical groups, IPAs, and other clients as they navigate the complex regulatory environment that affects their business operations and strategic transactions. Her collaborative approach and business insight, gained over her years acting as both general counsel and outside counsel to health care organizations, enable Terri to provide practical advice and legal support based on an in-depth understanding of an organization’s strategic goals.

Terri has advised health care clients regarding transactions, and regulatory matters, including Stark and anti-kickback laws, certificate of need requirements, reimbursement issues, and other compliance concerns. She has also counseled clients regarding governance and operational matters, including medical staff affairs, quality improvement and risk management activities and general policies and procedures.

Before joining Stoel Rives, Terri was Vice President and General Counsel for the Northwest Division of Common Spirit Health (formerly Catholic Health Initiatives). In that role, she oversaw expansion and served as an executive advisor for a large and complex system with operations that include urban and rural hospitals, multi-specialty clinics, an ACO, and numerous strategic partnerships. Earlier in her career, she held positions of increasing responsibility at several other health care organizations and law firms.

Education

Gonzaga University School of Law, J.D., magna cum laude; Thomas More Scholar

Gonzaga University, B.A., major: English, minors: Business and History, magna cum laude

Admissions

Washington

Oregon

Experience

  • Led acquisitions/affiliations and sales of multiple non-profit and for-profit hospitals, physician practices, and other health care businesses.
  • Developed numerous joint ventures, management and co-management arrangements, and other collaborative transactions including arrangements unique to the health care industry.
  • Assisted clients with a variety of operational matters, including:
    • Regulatory questions involving fraud and abuse laws, HIPAA compliance and other issues.
    • Redesign of medical staff structure and bylaws as well as resolution of medical staff issues.
    • Establishing and operating accountable care organizations and other new operations.
    • Developing behavioral health operations, including integrated programs, and resolving issues unique to behavioral health.
    • Negotiating agreements between physicians and health care organizations including management, professional services and employment contracts.
    • Effective board operations and governance responsibilities.

Insights

Insights & Presentations

  • Co-presenter, “Move Over Ralph Nader: The Patchwork of Financial Protection Laws in Health Care,” 2023 Spring Health Law Conference, Washington State Society of Healthcare Attorneys, April 28, 2023
  • “Department of Health (“DOH”) Has Issued Material Updates to Rules Governing Coordinated Quality Improvement Program (“CQIP”) Approval,” Stoel Rives Health Law Insider® blog, May 20, 2021

Affiliations

Professional

  • Washington State Bar Association
  • Oregon State Bar
  • American Health Lawyers Association
  • Washington State Society of Healthcare Attorneys, Board Member, 2001–2003

Civic

  • Project Access Northwest, Board of Directors, 2017–2022 (Chair, 2018–2022)
  • Pacific Hospital Preservation and Development Authority, Governing Council, 2006–2013 (Chair, Vice Chair, Secretary)
  • Providence Mt. St. Vincent Foundation Board of Directors (President, 2000–2005)
  • Holy Rosary School Commission and Development Committee
  • Program for Early Parent Support, Board of Directors
  • Fred Hutchinson Cancer Research Center, E. Donnell Thomas Guild

Industries

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