Keith Smith is a trusted advisor who leads with integrity and a deep commitment to the client’s mission. With over 22 years of experience as in-house counsel in the healthcare sector, Keith has developed skills in a comprehensive array of legal services aspects for large, complex organizations.


Keith is a member of Moore & Van Allen's Health Care group. Keith has deep experience in corporate governance, federal and state regulatory matters, mergers and acquisitions and a broad background advising support teams. He has built and integrated high-performing teams across legal, corporate compliance, audit services, privacy, enterprise risk management and corporate risk management and insurance programs. 

Keith's experience includes:

Strategic Transactions and Corporate Governance:

  • Developed joint operating company structure to facilitate growth initiatives
  • Managed acquisitions of acute care hospitals, behavioral health hospitals, ambulatory surgery centers and physician practices
  • Negotiated hospital management agreements, strategic affiliations, joint ventures and other combinations

Complex, High-Stakes Litigation and Government Investigations:

  • Successfully fought government antitrust litigation on an issue of first impression and obtained a settlement with no penalty or admission of liability
  • Oversaw multiple federal and state government investigations and inquiries (FBI, OIG, US DOJ, FTC, NC Attorney General)
  • Handled multiple qui tam cases

Healthcare Regulatory and Operations:

  • Advised on federal and state healthcare laws and regulations, including Stark, Anti-Kickback and False Claims Act
  • Served as counsel for medical staff executive, credentials and hospital ethics committees and formed system-wide credentialing and medical executive committees
  • Negotiated exclusive professional services agreements for anesthesiology, cardiac services, pathology and radiology



  • Best Lawyers in America, Health Care Law, 2022-2023
  • Outstanding General Counsel, Charlotte Business Journal, Attorney Size of 11-29, Corporate Counsel Awards, 2017
  • Law & Politics, “North Carolina Super Lawyer” for Health Care, 2009
  • Inside Counsel, Profiled as a Leading In-House Lawyer, 2009
  • Legal Elite, Top-Ranked Corporate Counsel, 2007
  • Business North Carolina, Annual List of Top Tar Heel Lawyers, 2007
  • Advisory Council, Boys & Girls Clubs of Greater Charlotte, 2007-present; (Executive Committee, 2010-present; Safety Committee, 2020-present; Chair, Strategic Planning Committee, 2015-2020; )
  • Governing Board, Carolina Thread Trail, 2014-2020
  • Tithing Committee, St. Peter Catholic Church, 2019-present
  • Board of Managers, Dowd YMCA, 2012-2017




Blogs and Resources



J.D., Duke University School of Law, 1993, with honors

B.A., Duke University, 1990, with honors


  • North Carolina
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Best Lawyers in America, Health Care Law, 2022-2023

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