Adrianne has broad experience advising health care and higher education clients on complex and innovative transactions and regulatory matters.

Adrianne regularly advises clients across the country on structuring and negotiating health care acquisitions, affiliations, joint ventures, spin-off and alignment strategies, restructurings, managed care contracting and value-based care arrangements, and general corporate counseling and business transactions. Adrianne is also co-leader of the firm’s public finance practice and advises on public and private financing transactions for non-profit health care and higher education entities.

Adrianne has extensive experience advising clients regarding health care regulatory matters, including the Stark law, Anti-Kickback Statute, HIPAA privacy and security rules, corporate practice of medicine, and telehealth laws. She is also advising clients on a range of issues associated with the COVID-19 pandemic, including navigating financial relief provisions for health care providers under the Coronavirus Aid, Relief, and Economic Security Act (CARES Act).

Adrianne is co-chair of the Ropes Multicultural Forum, which sponsors initiatives aimed at promoting and supporting diverse lawyers.


  • Health Care Transactions. Advised health care providers across the country in acquisitions, joint ventures, and strategic and commercial business transactions. Represented multiple hospitals and systems in affiliations, network development and expansion transactions, both as buyer and seller. Represented the life sciences subsidiary of a major technology company in its collaboration with a large provider of insurance and expansion into technology-enabled risk products. Represented a large nonprofit hospital in an innovative genomics joint venture with a for-profit laboratory testing company.
  • Academic Medical Centers. Represented multiple universities and academic medical centers in structuring and negotiating acquisitions, alignment, restructuring, and spin-off transactions. Counseled a national university regarding strategic options related to spin-off or realignment of controlled teaching hospital and faculty practice plans, and separation of credit structures. Advised a national university regarding evaluation and negotiation of spin-off transactions for its controlled teaching hospital, including with respect to potential transactions with both a for-profit and non-profit acquirer.
  • Public Finance. Participated in more than $5 billion in various tax-exempt and taxable bond offerings for multiple health care, higher education and biotech clients in Massachusetts, New York, Connecticut and California as borrower’s, bond and underwriter’s counsel.
  • Managed Care. Provide ongoing managed care contracting advice to clients across the country, with particular emphasis on value-based and innovative payment models. Counseled a major academic medical center on an innovative joint venture with a prominent payor.
  • Private Equity. Represented multiple private equity firms in due diligence, acquisitions, sales and exits, and ongoing portfolio counseling, with particular expertise with practice management company structuring and advice. Represented DuPage Medical Group, one of the nation’s largest independent, multi-specialty physician groups, and DMG Management Services in a US$1.45 billion strategic partnership with Ares Management. Represented TPG Capital in its acquisition of Mediware Information Systems, Inc., a supplier of software platforms for health care providers. Represented Welsh, Carson, Anderson & Stowe in its acquisition of InnovAge, a provider of senior care programs and services. 
  • Privacy and Security Compliance. Counseled a hospital regarding response to an investigation and negotiation of a resolution agreement with the HHS Office for Civil Rights following a HIPAA security incident, as well as an academic medical center in connection with an investigation and negotiation of a resolution agreement with a state Attorney General. Provide ongoing counseling of multiple health care organizations regarding privacy and security compliance matters.

Areas of Practice