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Capabilities / Healthcare Labor & Employment and Immigration

Healthcare Labor & Employment and Immigration

Facing adversity head on.

Husch Blackwell is committed to helping healthcare organizations manage employees in a way that minimizes risk while ensuring high-quality care for patients. Our team guides organizations through every phase of the employment process, from job application to termination and everything in between.

Our attorneys are well versed on state and federal wage and hour rules, compliance checks by the Office of Federal Contract Compliance Programs (OFCCP), Form I-9 documentation, and other issues that healthcare employers encounter every day.

Our guidance to clients in the healthcare labor, employment and immigration sector includes:

Human resources counseling

Our team functions as an extension of our clients’ human resources departments to help manage their workforces. We audit human resources practices, investigate employee misconduct, provide training, develop employment policies, and advise on common employee issues such as leaves of absence and compensation.


We help healthcare employers understand and comply with the many complex laws and regulations that govern the employment of foreign nationals. Our team also advises on immigration sponsorship, enforcement actions, and immigration due diligence in advance of mergers and acquisitions. Learn more about our full-service immigration team

Litigation and dispute resolution

We have decades of experience with alternative dispute resolution, arbitrations and courtroom litigation. Our team has successfully defended healthcare clients in alleged violations of the Fair Labor Standards Act, breach of contract claims, complex class and collective actions, discrimination matters, and whistleblower complaints.

Traditional labor matters

Our attorneys understand the current landscape between labor unions and healthcare providers. We guide clients in developing union prevention strategies, negotiating collective bargaining agreements, avoiding strikes, and contesting unfair labor practice charges.

Representative Experience

  • Advised hospitals, health systems, long-term care facilities, physician groups, and rural medical practices on routine and complex human resources issues.
  • Provided counsel to hospitals and other healthcare clients on state and federal wage and hour issues, including lunch breaks, travel time, flextime, and overtime.
  • Negotiated and drafted executive compensation agreements for hospitals, health systems, physician groups, and rural medical practices, working with outside valuation consultants to establish privilege over their work.
  • Counseled clients through numerous audits and compliance checks by the Office of Federal Contract Compliance Programs (OFCCP), including strategies to avoid potential affected class findings with the OFCCP and the Department of Labor.
  • Defended healthcare entities in OSHA enforcement actions to reduce or eliminate fines for alleged health and safety violations.
  • Represented healthcare clients in public policy wrongful discharge lawsuits involving alleged violations of the nursing standard of care, the Emergency Medical Treatment and Active Labor Act (EMTALA), utilization review issues, emergency services, ambulance districts, physician conduct, and other alleged regulatory violations.
  • Defended physician practice and its shareholders in high-stakes lawsuit filed by a former employee-shareholder after client’s internal investigation established plaintiff had behaved inappropriately with female employees.
  • Defended hospital in False Claim Act litigation brought by former employees.
  • Represented a group of nursing homes and their management company in a Fair Labor Standards Act lawsuit where the plaintiffs alleged that they missed meal breaks that had been automatically deducted from their pay.
  • Defended a hospital system in a wage and hour overtime case where medical transcriptionists who worked from home alleged they were not paid an overtime rate for all time worked in excess of 40 hours per week.
  • Defended a non-compete dispute on behalf of a nursing home management company where another healthcare institution attempted to prevent a manager from becoming employed by our client.
  • Designed union avoidance strategies for hospitals, including supervisor training on spotting and responding to union organizing activity and modifying personnel policies.
  • Represented hospital system in union organizing campaign, including related NLRB hearings.
  • Assisted hospitals in medically underserved areas with hiring foreign national physicians and applying on behalf of the physicians for J-1 waivers through the Conrad 30 program. Upon approval of the waiver, we secured the physician work-authorized immigration status to begin employment with the hospital at the start of the contract period.
  • Prepared nonimmigrant (temporary) and immigrant (permanent resident) petitions on behalf of healthcare providers for doctors, teaching nurses, lab technicians, biologists, microbiologists, other research scientists, physical therapists, occupational therapists, and other healthcare workers.
  • Prepared petitions for permanent residency for candidates who do not qualify for the traditional employment-based permanent residency process. We analyzed the candidates' credentials for alternative approaches such as EB-1 or national interest waiver.
  • Counseled healthcare providers of all sizes on developing plans for hiring and retaining foreign national workers, including analyzing hiring policies and employment contracts.
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Media Mentions | April 19, 2022
Ingram's: 40 Under Forty Class of 2022
News Releases | April 01, 2022
Husch Blackwell Adds Two Healthcare Partners to Virtual Office

Husch Blackwell is pleased to announce that Lisa T. Thomas and Bryan Stewart have joined the firm’s Healthcare, Life Sciences & Education industry group as partners.

News Releases | November 11, 2019
26 Husch Blackwell Attorneys Named to 2019 Wisconsin Super Lawyers/Rising Stars

The firm has 16 attorneys named to the Super Lawyers list and 10 attorneys named to the Rising Stars list.

News Releases | July 05, 2019
Husch Blackwell's Ault and Mullineaux Receive 2019 Missouri Bar Pro Bono Publico Awards

The Missouri Bar presents its Pro Bono Publico Awards annually to attorneys who have rendered outstanding pro bono service to indigent or low-income persons in need of legal assistance.

Our employment law advisors at Husch Blackwell not only know the law, but they also know the healthcare industry. It is a great relationship in that we do not have to waste any time explaining healthcare concepts when we seek their advice.

Leigh Ann Harrison, Director of Human Resources, Springfield Clinic