Health Law is our business.


Andrea L. Impicciche

Hall, Render, Killian, Heath & Lyman, P.C.
One American Square
Suite 2000
Indianapolis, IN 46282

Phone: (317) 977-1578
Fax: (317) 633-4878
vCard: Download vCard


Andrea Impicciche focuses her practice on corporate transactional law and health care law. She counsels clients on a variety of health care related issues, including hospital/physician joint ventures, fraud and abuse, the Stark Law, regulatory and corporate compliance, physician contracting, hospital mergers and acquisitions, transactions with academic medical centers, physician-owned hospitals and other corporate counsel matters. Ms. Impicciche represents a broad array of health care providers, including hospitals, health systems and physician-owned hospitals. Ms. Impicciche has significant experience advising clients on the acquisition of medical practices and physician/hospital joint ventures and hospital/health system consolidation through mergers and acquisitions and/or restructuring. 

Ms. Impicciche’s physician alignment experience includes the representation of hospitals, health systems and physician practices in a broad range of physician-alignment transactions, including assisting clients with physician practice acquisitions, physician practice leasing arrangements, management and co-management arrangements and other alignment and integration strategies. In the course of this work, Ms. Impicciche assists clients with identifying numerous legal issues across a broad spectrum of practice areas and coordinating resolution of such issues. 

Ms. Impicciche has assisted hospitals and health system clients with the acquisition of other hospitals or health systems through membership substitution or otherwise, as well as assisting target hospitals through the process of affiliating with larger health systems. In the course of this work, Ms. Impicciche has assisted clients through the legal due diligence process, as well as negotiation of affiliation agreements and operational transition processes. A member of Physician Hospitals of America, which offers support and advocacy to the physician-owned hospital industry, Ms. Impicciche advises physician-owned hospitals on a broad array of matters specific to physician-owned hospitals and compliance with the Stark Law’s Whole Hospital Exception. In the course of this work, Ms. Impicciche assists clients with growth and consolidation strategies, compliance with the Stark Law and filing applications with CMS, requesting an exception to the expansion prohibition.

Ms. Impicciche received her undergraduate degree from DePauw University and graduated from Indiana University Robert H. McKinney School of Law in Indianapolis where she completed the Health Law Concentration. Ms. Impicciche has written several articles on the impact of health care reform on for-profit, physician-owned hospitals and other matters concerning her practice. In addition, Ms. Impicciche regularly speaks to audiences on health care matters she encounters in her practice and tweets about health care laws and news. 

Preparatory Education

  • DePauw University, B.S. - 2003

Legal Education

  • Indiana University Robert H. McKinney School of Law, J.D., Health Law Concentration - 2006

Admitted to Bar

  • Indiana - 2007
  • U.S. District Court, Northern and Southern Districts of Indiana - 2007


  • Physician Hospitals of America
  • American Health Lawyers Association
  • Young Professionals Council of the American Health Lawyers Association (2011 & 2012)
  • American Bar Association
  • Indiana Bar Association
  • Indianapolis Bar Association; Health Section Committee, Chair (2010)


CMS Receives Comments to Proposed Rule Affecting Physician-Owned Hospital Expansion Exception


CMS Issues Proposed Rule Affecting Physician-Owned Hospital Expansion Requests


Urgent Reminder to Physician-Owned Hospitals: Action Required by March 1, 2014


Physician-Owned Hospitals: Addition of Unlicensed Observation Beds Does Not Increase the Hospital's Number of Licensed Beds


Annual Reporting Requirement for Physician-Owned Hospitals - DEADLINE EXTENDED TO MARCH 1, 2014

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Recent Presentations

Speaking Engagement

PHA 14th Annual Conference & Exhibits

September 26, 2014 - 10:15–11:15 AM

Think You Can't Expand?  Case Studies for Expansion
This session will explore creative solutions to expanding a physician-owned hospital through hospital acquisition and/or consolidation.  This session will also explore lessons learned from conversations with CMS when filing an application for expansion.  Finally, the session will end with a quick discussion of the Stark Law Whole Hospital Exception and a Bullet Point Checklist to Determine Legal Compliance with the Whole Hospital Exception

Speaker(s): Andrea L. Impicciche

Organizer: Physician Hospitals of America

Venue: Arizona Grand Resort, AZ  Get A Map