Karen Maher – Pivot Health Solutions

GC helps Pivot Health Solutions flex as it grows

Pivot Health Solutions is on the rise. Actually, as Karen Maher points out, the health and wellness industry is on the rise, in greater demand than ever during the COVID-19 pandemic.

And as general counsel, chief compliance officer and corporate secretary, she’s helping guide Pivot Health Solutions’ growth while creating new ways to increase diversity, equity and inclusion at the company headquartered in Towson, Maryland.

Karen Maher | General Counsel, Chief Compliance Officer, Corporate Secretary | Pivot Health Solutions

Karen Maher | General Counsel, Chief Compliance Officer, Corporate Secretary | Pivot Health Solutions

“It’s a company that’s helping people whether its patients, clients or employees,” Maher says. “We’re continuing to grow, opening new locations and communities, as well as acquiring practice groups. But in moving to post-COVID, it’s still frontline health care.”

Pivot Health Solutions began with a physical therapy center opened in 2001 in Westminster, Maryland, and is now the parent company of Pivot Physical Therapy, Pivot Onsite Innovations, and Pivot Occupational Health. There’s also the Pivot Cares Foundation, which is funded in part by employees that makes regional grants to nonprofits, Maher says.

Stretching out

Since 2014, it’s acquired practices in Delaware, North Carolina, Pennsylvania and Virginia. Along with practices in seven states and Washington, D.C., it offers athletic training programs and more than 100 onsite health clinics for corporate customers—areas of innovation Maher says made her want to join the company.

She arrived in April, eager to return to a general counsel role and the additional responsibilities. Along with corporate governance, risk management and M&A, Maher’s in charge of human resources. That’s made her responsible for compliance with pandemic-related guidelines and regulations.

“We’ve thrived during COVID and our [client] retention is good,” Maher says. “People are still coming into clinics and making sure the public is comfortable while understanding employees are navigating issues for their own safety and religious beliefs is crucial.”

Karen Maher | General Counsel, Chief Compliance Officer, Corporate Secretary | Pivot Health Solutions

To support employees, Maher, along with CEO Chris Throckmorton and Chairman of the Board Stephen Gray, is beginning a four-year initiative to promote diversity, equity and inclusion.

“We cannot get too focused on growth. We need to keep all of our employees engaged and focused while offering opportunities for them in their specialties,” she says. “Our culture needs to align with our growth.”

While noting the company already has strong leadership from women and minorities, Maher says the initiative includes more staff recruiting at historically Black colleges and universities. As well, she’ll seek more detailed feedback from employees and interns about Pivot Health Solutions programs and services.

Maher adds she’ll also focus on development opportunities within Pivot Health Solutions in recognition that not all of its employees are therapists.

Staying local

Born in Sykesville, Maryland, about 20 miles west of Baltimore, Maher earned her bachelor’s degree in political science from the University of Maryland and has spent her career in the area. She earned her J.D. from The Catholic University of America in Washington, D.C., while also earning certificates in international and comparative law and communications law.

Three weeks after she passed Maryland’s bar exam, Maher gave birth to her first child. She had three more children in the ensuing five years as she began her legal career at a boutique law firm specializing in intellectual property law in Alexandria, Virginia.

In 1998, Maher joined the Washington, D.C., office of DLA Piper as an associate practicing in telecom, IP and e-commerce law.

“I find the innovators of the world fascinating,” Maher says. “Every day you are going to have an innovator sitting in front of you with a new idea, a new product and a new brand. I enjoyed getting to know those people and their whys.”

Karen Maher | General Counsel, Chief Compliance Officer, Corporate Secretary | Pivot Health Solutions

In 1999, Maher moved in-house as general counsel and vice president of legal and administrative affairs for Interact Accessories Inc., an interactive-entertainment company in Hunt Valley, Maryland, north of Baltimore.

With the exception of her years at the Baltimore law firm of Gordon Feinblatt from 2006-2010, Maher has been in-house. From 2010-2013, she was senior attorney for legal and business affairs at Nielsen Audio. From 2015-2017, Maher was associate general counsel at LifeBridge Health. From there she joined Inovalon, a provider of cloud-based platforms for health care, as its associate general counsel. In April, she joined Pivot Health Solutions.

While she’s raised four children and built a legal career, she also sponsored midshipmen from the U.S. Naval Academy.

“Adding a few midshipmen is not difficult when you have four kids already,” Maher jokes.  The relationships have continued long after the plebes graduated and went on to active duty—Maher recently attended a wedding of someone she had sponsored, she adds.

As for her new employer, Maher says Pivot Health Solutions has been a good fit.

“The services Pivot provides are an interesting facet of health care,” Maher says. “It’s diverse, creative and in a competitive market. But what’s made this so rewarding is the passion Pivot and its people have for enriching the communities it works in.”

View this feature in the Vanguard Fall II 2021 Edition here.

Published on: September 14, 2021


categories: ,

Showcase your feature on your website with a custom “As Featured in Vanguard” badge that links directly to your article!

Copy and paste this script into your page coding (ideally right before the closing tag) where you want to display our review banner.


It was a great honor to be featured in Vanguard Law. Working with every member of the team, from the initial interview with Erin Clark, through production with Victor Martins, writing the article with Taryn Plumb and creating the final content with Dave Gushee, was a true pleasure. Everyone was very professional, enthusiastic and supportive, and their creative approach and positive attitude clearly came through in the final product.
– Kevin C. Rakowski, Senior Vice President, Deputy General Counsel, Compliance with Radian Group Inc.
As promised in advance, my feature in Vanguard has increased my visibility within the profession and prompted more than a few people I have not communicated with recently to reconnect. One of the Italian law firms I have used in the past is now in the process of interviewing me for an article on their website and tweeting out the feature story. Activity and the number of people connecting with me on LinkedIn has soared, which is great. The Vanguard writers and editorial staff were great to work with—highly professional and made the effort to make the experience both fun and rewarding (they were also respectful of the time pressures and demands all lawyers face). I was very pleased with the experience and the final outcome. Needless to say, I have been very pleased. All in all working with Vanguard has been a very positive experience which generated good publicity for both Shawcor and myself. My sincere thanks.
– Tim Hutzul, General Counsel, ShawCor Ltd.
The piece highlighting my company, Bob Baker Enterprises, Inc., came out fabulous. Our company is in the new and used car sales and service industry. Everyone was great to work with and extremely professional. They produced a high-quality product and have provided expert assistance and guidance post-production of the article.
– Wade Poulson, General Counsel, Bob Baker Enterprises Inc.
I was honored to be the subject of an article. I enjoy reading Vanguard articles and seeing how other attorneys got to their positions and see their jobs. It's also interesting to see how different law firms partner with the subjects of the articles.
– Henry Marquard, in-house counsel, Stanley Consultants Inc.


Spring IV 2024



  • * We’ll never share your email or info with anyone.
  • This field is for validation purposes and should be left unchanged.