James George Wiehl

Norton Rose Fulbright US LLP

St. Louis
United States
T:+1 314 505 8820
St. Louis
United States
T:+1 314 505 8820
James George Wiehl

James George Wiehl


Related services and key industries


Jim Wiehl is a partner in Norton Rose Fulbright's St. Louis office. His broad corporate and regulatory healthcare practice includes handling all types of affiliations; mergers and acquisitions; private equity transactions; corporate structure and board governance issues, including analysis of a board's fiduciary obligations including duty of care and duty of loyalty, and immunities available to board members; development and implementation of accountable care organizations under the Affordable Care Act, including the utilization of waivers and deemed clinical integration status; complex outsource arrangements; managed care arrangements; antitrust consulting; Medicare and Medicaid regulatory consulting; investigations and corporate compliance and other healthcare regulatory consulting.

He has worked with a diverse group of health care clients including health care systems, academic medical centers, hospitals, universities, large specialty physician groups, health insurance companies, and other health care providers. Jim was named "Lawyer of the Year" for healthcare law in St. Louis in 2016 by Best Lawyers and is a recommended lawyer for Healthcare: Service providers by Legal 500 in the US.

Professional experience

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JD, University of Notre Dame Law School, 1979
BA, cum laude, Governmental and International Relations, University of Notre Dame, 1976

Jim is admitted to practice in Missouri.

  • Missouri State Bar

Jim's most current work includes:


  • Represented, as lead counsel, regional community hospital in developing an affiliation with a multi-billion dollar health care system
  • Represented, as lead counsel, nationally recognized not-for-profit health care system in restructuring its affiliation with a regional hospital through a long-term lease arrangement
  • Represented healthcare system in its affiliation with 15+ hospital multi-state health care system
  • Represented, as lead counsel, regional health care system in developing management agreements by which sophisticated cardiology and neurosurgical groups undertook management of the system's cardiovascular and neurosurgical service lines, as well as development of joint ventures for certain technical services
  • Represented, as lead counsel, health care system's restructuring of its investment in large multispecialty group, permitting group to spin off and sell on-going HMO operations
  • Represented, as lead counsel, health care system's integration with a large multi-specialty group
  • Represented numerous hospitals and health care systems in the formation of joint ventures with physicians for the provision of cardiac catheterization services
  • Represented numerous hospitals and health care systems in the creation of Ambulatory Surgery Center joint ventures with physicians
  • Represented several hospitals and a large cardiovascular group in the formation of joint ventured heart hospitals
  • Represented large health care system in the development and implementation of a radiology services joint venture with hospital based radiology group


  • Represented hospital in defense and settlement of multi-million dollar false claim action brought by Federal government
  • Represented the board of directors of hospital against claims of negligence, breach of fiduciary duties and negligent credentialing
  • Represented health system in defense of qui tam action alleging upcoding of DRGs at client's inpatient facilities
  • Representation of several health care systems in investigation of billing and compensation irregularities, leading to resolution or voluntary disclosures to CMS
  • Represented various hospitals and other health care providers in the development and implementation of corporate compliance programs
  • Chambers USA, Missouri: St. Louis, Healthcare, Chambers and Partners, 2022
  • The Best Lawyers in America, Best Lawyers, 2007 – 2021
  • Best Lawyers - Health Care Law, Best Lawyers, 2022 - 2023
  • BTI Client Service All-Star, The BTI Consulting Group, 2019, 2021
  • Lawyer of the Year, St. Louis: Healthcare Law, Best Lawyers, 2016
  • Legal 500 US, recommended lawyer, Healthcare: Service Providers, The Legal 500, 2014 – 2017, 2019
  • Missouri & Kansas Super Lawyer, Thomson Reuters, 2005 - 2013
  • "Perspectives on Best Practices for Health Care Transactions," Inside the Minds: Structuring Health Care Partnerships, Agreements, and M&A Transactions, Aspatore, Inc., C-Level Business Intelligence, pages 97-122, 2007
  • "Roles and Responsibilities of Nonprofit Health Care Board Members in the Post-Enron Era," The Journal of Legal Medicine, 25:411-439, 2004
  • Co-Author, "Gainsharing: A Call for Guidance", Journal of Health Law, Vol. 32, No. 4, Fall 1999
  • Co-Editor with Allan Fine, "Integrated Health Care Delivery Systems: Business and Legal Forms," Thompson Publishing Group, 1994
  • "Integrated Health Care Delivery Systems: A Guide to Successful Strategies for Hospital and Physician Collaboration," Chapters 4 and 11, Thompson Publishing Group, 1993
  • "The Direct Contracting Manual," Capitol Publications, 1992
  • "The Managed Care Contracting Manual," Capitol Publications, Inc., 1990
  • "Physician Integration: The Legal Pressures for Consolidation of Health Care Services," St. Louis University Law Journal, Volume 34, No. 4, 1990
  • Panelist, "Transactional Issues:  Hospital/Physician Relationships - the Courtship and Wedding" Fulbright & Jaworski L.L.P. Eighth Annual Health Law Symposium, Austin, Texas, January 31, 2013
  • Moderator, "Cardiology Compensation Roundtable," St. Louis, Missouri, January 11, 2013
  • Moderator, "Emerging Health System Models" St. Louis Annual Healthcare Forum, St. Louis, Missouri, January 10, 2013
  • Co-presenter, "Fulbright Forum – Risk Exposures and Potential Liabilities of ACOs: Considerations Before Taking the Plunge," Fulbright & Jaworski L.L.P. Health Care Web Seminar, February 7, 2012
  • Moderator, "Transactions: Professional Service Agreements/Co-Management Agreements," Fulbright & Jaworski L.L.P. Eighth Annual Health Law Symposium, Austin, Texas, February 2, 2012
  • "Fulbright Forum: Impact of Health Care Reform: Key Implementation Issues for Providers, Suppliers and Payers," Fulbright & Jaworski L.L.P. Health Care Web Seminar, July 13, 2010 
  • "Co-Management Agreements, Gainsharing & Medical Directorships - Is there a right answer for hospital-physician collaboration?" Medical Group Management Association, Orlando, Florida, April 4, 2006
  • "Continuing Integration of Cardiovascular Services," Guidant Corporation, St. Augustine, Florida, October 24, 2003
  • Board member and Chair of the Audit Committee, Project Hope (national and international health crisis intervention and aid organization)

  • Board member and Secretary/Treasurer, The Health Project (a not-for-profit organization sponsoring health promotion in the corporate sector)

  • American Bar Association

  • American Health Lawyers Association