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James R. Dutro

Practice Leader Health Care


(T) +1.415.875.5839
(F) +1.415.875.5700


  • University of California, Hastings College of the Law (J.D. 1994); University of California, Davis (B.S. 1990)

Bar Admissions

  • California

James Dutro is a health care transactional and regulatory attorney and co-leader of the Firm's Health Care Practice. His practice is focused on representing hospitals, health systems, academic medical centers, medical groups, health plans, and various other health care and life sciences companies in connection with mergers, acquisitions, affiliations, joint ventures, financings, and other complex business transactions.

James is widely recognized as one of the leading attorneys in structuring and implementing accountable care organizations (ACOs), clinically integrated organizations (CIOs), integrated delivery systems (IDSs), management services organizations (MSOs), and other hospital-physician alignment and managed care contracting transactions and arrangements. He has worked with clients such as City of Hope, Dignity Health, Phoenix Children's Hospital, and Stanford Hospital & Clinics to develop and implement successful strategies for more closely aligning the operations and activities of hospitals, physicians, and ancillary 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 of 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.

Honors & Distinctions

  • Listed by Chambers USA as a leading health care attorney since 2007

    Listed in The Best Lawyers in America since 2009 in the health care law category

    Named The Best Lawyers in America 2015 San Francisco Health Care "Lawyer of the Year"

    Named one of the "Outstanding Hospital Lawyers" by Nightingale's Healthcare News
James Dutro