Medical Office Leases: Navigating Stark Law, Anti-Kickback Statute, Operational Restrictions, and More
Drafting to Address Reciprocal Easements, Ground Leases, HIPAA, ADA, and Environmental Issues Unique to Medical Office Use
Recording of a 90-minute premium CLE video webinar with Q&A
This CLE course will prepare real estate counsel to draft medical office leases that address regulatory and operational restrictions associated with medical office space. The panel will discuss how to develop agreements that qualify for an exemption under the federal Stark Law and a safe harbor under the federal Anti-Kickback Statute, how hospital affiliations and environmental concerns may impact lease provisions, and more.
Outline
- Development and title matters to address in medical office leases
- Reciprocal easements and operational covenants relating to an affiliated hospital
- Ground lease of MOB
- The Stark Law and the Anti-Kickback Statute
- Potential liability for landlords and tenants
- Exemptions from the statutes: drafting considerations
- Environmental issues particular to medical offices: hazardous waste disposal
- HIPAA
- ADA and other considerations
Benefits
The panel will review these and other key issues:
- Is there an affiliate relationship between the MOB and an existing hospital that will impact the landlord's obligations or the tenant under a medical office lease?
- What are the kinds of restrictions or easements to address in the lease?
- What are the leasing criteria to comply with Stark Law and the Anti-Kickback Statute?
- How should HIPAA be addressed in a medical office lease?
- What are the other provisions particular to a medical office lease?
Faculty

Miranda L. Owens
Attorney
Baker & Hostetler
Ms. Owens assists clients with a variety of commercial transactions, including acquisitions, dispositions, leasing,... | Read More
Ms. Owens assists clients with a variety of commercial transactions, including acquisitions, dispositions, leasing, joint ventures, finance and development of commercial real estate. In her practice, Ms. Owens represents public and private companies and private equity funds in a wide range of industries, including healthcare, consumer products, homebuilding, real estate, energy and technology. Additionally, she has extensive experience representing large hospital systems and healthcare practices with acquisition, disposition and leasing transactions which are also subject to complex regulations such as Stark and Anti-Kickback laws.
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Rahil Rather
Attorney
Baker & Hostetler
Mr. Rather has a broad-based real estate practice that includes commercial development, leasing and finance,... | Read More
Mr. Rather has a broad-based real estate practice that includes commercial development, leasing and finance, representing clients mainly focusing in the areas of national homebuilding, healthcare and industrial development. He has extensive experience in acquisitions, development, dispositions, complex assemblages and repurposing of commercial projects. Mr. Rather works regularly with national homebuilders in all aspects of the development of residential subdivisions, with healthcare industry clients in the acquisition, development, leasing and sale of medical facilities and with industrial developers in the acquisition, development and repurposing of commercial projects.
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Kimberly S. Ruark
Counsel
Baker & Hostetler
Ms. Ruark focuses her practice on transactions and regulatory matters for the healthcare industry. She is scrupulous in... | Read More
Ms. Ruark focuses her practice on transactions and regulatory matters for the healthcare industry. She is scrupulous in guiding hospitals, health systems, and physicians through complex contract arrangements that match the client’s business aims. She also counsels healthcare industry clients on issues of fraud and abuse and Stark Law compliance matters.
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