James R.Dutro


San Francisco + 1.415.875.5839

James Dutro is a nationally recognized health care transactional and regulatory lawyer. His practice is focused on representing hospitals, health systems, academic medical centers, digital health companies, and various other health care and life sciences companies in connection with mergers, acquisitions, affiliations, joint ventures, joint operating arrangements, and other complex business transactions.

James is widely recognized as one of the leading lawyers in structuring and implementing complex hospital and health system affiliations, joint ventures, and joint operating arrangements. He also regularly advises clients on hospital-physician alignment and managed care contracting transactions and arrangements. He has worked with leading organizations such as City of Hope, Dignity Health, and Stanford Health Care to develop and implement successful strategies for more closely aligning the operations and activities of hospitals, physicians, and other ambulatory service providers.

James also has significant experience advising clients regarding strategies and structures aimed at improving the quality and efficiency of health care delivery, including the development and implementation of accountable care organizations (ACOs), clinically integrated organizations (CIOs), integrated delivery systems (IDSs), and management services organizations (MSOs), as well as co-management, gainsharing, pay-for-performance, and other incentive-based compensation arrangements. He regularly advises clients regarding the health care regulatory laws affecting health care services and life sciences companies and is regarded as one of the foremost lawyers on state and federal anti-kickback and self-referral ("Stark" and "Speier") laws.

James is a member of the American Health Lawyers Association and the California Society of Healthcare Attorneys.


  • Adventist Health maintains access to emergency services for Montebello community through chapter 11 saleJones Day advised Adventist Health in connection with its acquisition of certain assets of Beverly Community Hospital Association through Chapter 11 bankruptcy proceedings, which closed on September 6, 2023 and allowed Adventist Health to advance ongoing access to necessary emergency department services for the Montebello community in East Los Angeles.
  • City of Hope acquires Cancer Treatment Centers of AmericaJones Day advised City of Hope, a world-renowned, National Cancer Institute (NCI)-designated comprehensive cancer research and treatment organization, in connection with its acquisition of Cancer Treatment Centers of America, a network of oncology hospitals and outpatient care centers across the United States.
  • City of Hope invests in Reimagine CareJones Day represented City of Hope in connection with the $25 million Series A financing of Reimagine Care, a technology-driven, home-based cancer care company.
  • City of Hope acquires oncology sites in Southern CaliforniaJones Day advised City of Hope in connection with the acquisition of nine radiation oncology sites through a joint venture with Vantage Oncology, a leading national radiation oncology network that is part of The U.S. Oncology Network.
  • Dignity Health and Select Medical combine Concentra and U.S. HealthWorks for $753 millionJones Day advised Dignity Health in its $753 million sale of its U.S. HealthWorks, Inc. subsidiary to Concentra Group Holdings, LLC.
  • Dignity Health and Phoenix Children's Hospital collaborate on five-story medical towerJones Day represented Dignity Health in connection with the development of a joint operating agreement with Phoenix Children’s Hospital, a collaboration that brings a new five-story medical women's and children’s services tower to Dignity Health’s Mercy Gilbert Medical Center campus in Gilbert, Arizona.
  • City of Hope forms precision medicine alliance with TGenJones Day advised City of Hope, a world-renowned cancer and diabetes research and treatment center, in its affiliation with the Translational Genomics Research Institute (TGen), a nonprofit biomedical research institute focused on developing earlier diagnostics and personalized treatments.
  • Celtic Healthcare and Allegheny Health Network complete joint venture to combine home health and hospice assets in western PennsylvaniaJones Day advised Celtic Healthcare, Inc., a majority owned subsidiary of The Graham Holdings Company and an innovative leader in the delivery of home health care in Pennsylvania and Maryland, in the formation of a joint venture with Allegheny Health Network that will combine each organization's home health and hospice assets in the western Pennsylvania region to create a new, fully integrated and industry-leading provider of post-acute care services operating under the AHN brand and managed by Celtic's support service and leadership team.
  • Redwood Regional Medical Group merges with St. Joseph Heritage HealthcareJones Day represented Redwood Regional Medical Group ("Redwood"), a multi-specialty physician group practice specializing in medical and radiation oncology diagnostic and interventional radiology, and breast and vascular surgery, in connection with its sale to St. Jude Hospital Yorba Linda, dba St. Joseph Heritage Healthcare.
  • Nonprofit medical foundation secures tax-exempt statusJones Day advised a nonprofit medical foundation regarding the denial of its application for tax-exempt status as a section 501(c)(3) organization.
  • Dignity Health purchases revenue cycle management services from Optum360Jones Day represented Dignity Health in negotiating a 10-year management services agreement with Optum360.
  • Dignity Health forms joint venture with Optum InsightJones Day advised Dignity Health, the fifth largest hospital provider in the United States, in the formation of a joint venture with Optum Insight, a provider of information and technology solutions in the health care field.
  • John Muir Health partners with Tenet CaliforniaJones Day advised John Muir Health with respect to its acquisition of an ownership interest in San Ramon Regional Medical Center.
  • Phoenix Children's Hospital forms clinically integrated pediatric provider networkJones Day advised Phoenix Children's Hospital, one of the 10 largest children's hospitals in the nation, and Arizona's only dedicated pediatric hospital, in connection with the formation of Phoenix Children's Care Network ("PCCN"), a clinically integrated network of pediatric specialists, subspecialists and institutional providers in Maricopa County and surrounding areas of Arizona.
  • Dignity Health establishes oncology affiliation with University of Arizona Cancer CenterJones Day represented Dignity Health in connection with its affiliation with the University of Arizona Cancer Center.
  • Hoag Memorial Hospital forms regional health systemJones Day assisted Hoag Memorial Hospital Presbyterian in its affiliation with St. Joseph Health to form an integrated regional health system.
  • Dignity Health acquires U.S. HealthWorksJones Day advised Dignity Health, the fifth largest health system in the nation, in its acquisition of U.S. HealthWorks, the largest independent operator of occupational medicine and urgent care centers in the United States.
  • John Muir Health forms John Muir Health Medicare ACOJones Day advised John Muir Health with respect to the formation and development of John Muir Health Medicare ACO, an organization comprised of approximately 200 primary care and specialty physicians serving Medicare beneficiaries in Contra Costs County, California.
  • Dignity Health acquires Health Diagnostics of CaliforniaJones Day represented Dignity Health in connection with its acquisition of Health Diagnostics of California, a chain of diagnostic imaging centers located in Northern and Southern California.
  • University Healthcare Alliance acquires Affinity Medical Group and Affinity Medical Partners Medical GroupJones Day advised University Healthcare Alliance, an affiliate of Stanford Hospital & Clinics, in connection with its acquisition of Affinity Medical Group, an integrated, multi-specialty medical group with more than 25 physicians and four clinics located in the San Francisco Bay Area, and Affinity Medical Group, and Affinity Medical Partners Medical Group, an independent practice association consisting of nearly 700 primary care and specialty physicians in the San Francisco Bay Area.
  • Jones Day advised Dignity Health, one of the nation's largest health systems, in connection with its partnership with Phoenix Children's, Arizona's only nationally recognized pediatric hospital, to jointly develop a new women's and children's medical tower on the Dignity Health Mercy Gilbert Medical Center campus in Gilbert, Arizona. The five-story medical tower will include 24 labor and delivery rooms, including six dedicated to high-risk patients and 48 post-partum beds, operated by Mercy Gilbert Medical Center, and 50 pediatric beds, a 12-bed pediatric emergency department, pediatric operating rooms and a new 60-bed Level 3 neonatal intensive care unit (NICU) operated by Phoenix Children's Hospital.

    Speaking Engagements

    • September 11, 2014
      NorCal Healthcare Deals Roundtable
    • October 17, 2012
      Jones Day / Navigant 16th Annual Health Care Compliance Forum
    • October 3, 2012
      Dignity Health 2012 Physician Alignment Symposium
    • October 18, 2011
      Physician Employment, Professional Services Arrangements, and Provider-Based Services: Ensuring a Successful and Compliant Relationship, Jones Day / Navigant 15th Annual Health Care Compliance Forum
    • October 20, 2010
      Accountable Care Organizations - Hospital-Physician Integration, Jones Day / Navigant 14th Annual Health Care Compliance Forum
    • October 7, 2010
      Current Trends in Hospital-Physician Alignment, 7th Annual Healthcare Law Compliance Symposium