Director of his firm's health care practice, one of the country's largest; carved out a unique entrepreneurial role in public sector health care during his 33 years of practice and government service; established the National Association of Public Hospitals, becoming its first and thus far only president; launched several other public health organizations and established partnerships between domestic and foreign hospitals; developed and implemented crucial Medicare and Medicaid reimbursement reforms; negotiated staffing agreements for countless hospitals; fashioned a "fiscal autonomy agreement" between New York City and the city Health and Hospitals Corp.; devised corporate structures to improve the competitiveness and efficiency of public hospitals.