Health Care Business Transactions

At Robinson+Cole, we recognize the unique nature of health care transactions, especially given the rapidly changing business and regulatory landscape. We are able to work on behalf of our clients within applicable regulatory constraints to structure a transaction in a manner to help them achieve their business objectives, whether these objectives are to buy a business, sell a business, form a joint venture, or start a new line of business. From initial business negotiations to post closing operations, we work to understand each client's business model and how each transaction helps that client succeed.

Robinson+Cole's Health Law Group handles a large number of business transactions for its clients, ranging from mergers and acquisitions of health systems to the acquisition of a single provider practice and everything in between. The Health Law Group is structured to bring the appropriate resources to bear, depending on the nature of the transaction. In addition, we are able to tap into the resources available in our other groups, such as real estate, environmental, antitrust, labor and employment, and intellectual property, to handle all aspects of a transaction.

    • Experience
      • Representation of physician hospital organization in connection with purchase of electronic medical record hardware and software, including fraud and abuse and tax exemption advice regarding donation of electronic medical record software and services by a hospital to physicians, structuring the transactions between the physician hospital organizations and the physician users and hospital donor and drafting and negotiating all contracts with the electronic medical record vendor and the physician users.
      • Regular representation of hospitals, integrated delivery systems, nursing homes, continuing care retirement communities, physician groups, outpatient clinics and other health care providers as outside general counsel. Regularly advise these clients in matters of corporate governance, contracts, regulatory compliance, corporate compliance, risk management, policies, fundraising and tax exemption, employment, labor and litigation. Work closely with senior management and/or general counsel in transactional and day-to-day risk management and operational issues.
      • Representation of tissue bank in connection with negotiations and drafting of distribution, supply, licensing, representation and other agreements; acquisition of substantially all of the assets of another tissue bank; creation of domestic and international joint venture; subsidiary arrangements for the provision of certain tissue products and services; and certain regulatory matters.
      • Regular representation of hospitals in connection with physician recruitment and retention matters, including advice regarding Stark exceptions, Anti-kickback safe harbors and tax exemption restrictions and drafting of income guarantees, loan forgiveness arrangements and employment agreements.
      • Representation of hospital in connection with formation of professional corporation for employment of physicians in private practice model.
      • Regular representation of hospitals, outpatient clinics, nursing homes and physician groups in connection with service contracts, including without limitation, contracts with providers of durable medical equipment, pharmacy, clinical laboratory, infusion services and staffing services.
      • Regular representation of hospitals and physician groups in connection with physician and mid-level provider employment agreements, including advice regarding Stark and Anti-kickback statute compliance, incentive compensation and gainsharing issues.
      • Representation of state’s only freestanding children’s hospital in certificate of need proceedings involving relocation of hospital, construction of new facility and combination of fragmented regional pediatric care.
      • Representation of hospital in certificate of need proceeding to secure major expansion of cardiac care to include open heart surgery and angioplasty.
      • Regular representation of hospitals and physician groups in connection with the formation of joint ventures.
      • Representation of purchaser of a continuing care retirement community that was under court-ordered receivership. Worked closely with the client to obtain the necessary regulatory approvals, including without limitation, registration with the Connecticut Department of Social Services and assisted living services agency licensure from the Connecticut Department of Public Health. Successfully negotiated with the Attorney General’s office regarding revisions to continuing care agreements. Prepared and negotiated several management and service contracts. Worked as part of the Robinson & Cole team to resolve issues related to labor and employment, real estate and contract negotiations.
      • Representation of developer of continuing care retirement community in connection with land use, zoning and construction matters.
      • Representation of home care agency in connection with acquisition of the assets of another home health care agency.
      • Representation of hospital in the development of a managed residential community and the licensing of an assisted living services agency, including without limitation, development of the assisted living services agreement, development and negotiation of a management agreement and development of policies.
      • Representation of a nursing home in connection with the acquisition of nursing home beds from a court-ordered receiver. Negotiated asset purchase agreement with receiver and worked closely with the client to obtain the necessary regulatory approvals, including without limitation, the approval of the Connecticut Department of Social Services.
      • Representation of substance abuse treatment center before municipal land use commissions in defending against zoning enforcement actions. Obtained order from federal court allowing clients to continue making off campus housing available to their patients. Regular preparation of, and advice to clients on, certificates of need and appear before the Connecticut Office of Health Care Access in connection with contested certificates of need.
      • Representation of tax exempt hospital in joint venture for outpatient endoscopy center, including negotiation of Operating Agreement, drafting of private placement memorandum for offering of membership units and subscription agreements and analysis of tax exemption and fraud and abuse issues.
      • Representation of joint venture between tax exempt hospital and physicians in connection with development and operation of ambulatory surgery center, including drafting Operating Agreement, drafting private placement memorandum and subscription agreements, fraud and abuse analysis, and drafting and negotiating land option agreement and lease, management agreement and anesthesiology service agreement.
      • Representation of hospital in the sale of its dialysis business, including, without limitation, negotiation of asset purchase agreement, lease documents, acute dialysis service agreement and certificate of need, the Connecticut attorney general conversion act, and Connecticut Department of Public Health approvals.
      • Representation of physician group in the formation of a joint venture with a hospital for outpatient radiology services, including drafting and negotiation of an Operating Agreement, management agreement, billing services agreement, imaging services agreement and lease agreement.
      • Regular representation of hospitals in connection with exclusive professional service agreements for radiology, anesthesiology, pathology and radiation oncology.
      • Representation of health services corporation in connection with liquidation of affiliated health maintenance organization before the Connecticut Insurance Department.
      • General counsel to multi-state pathology group practice.*
      • Representation of a continuing care retirement community in connection with restructuring and revising their continuing care contracts.
      • Representation of hospital in connection with acquisition of middleware software for electronic health records, including fraud and abuse and tax exemption advice in connection with the donation of such software to physicians.
      • *These matters were of counsel prior to an individual attorney joining Robinson+Cole.

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    • News
      • May 10, 2017

        Les Levinson Presents at AHLA Health Care Transactions Conference

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      • May 3, 2017

        Les Levinson Speaks on Home Health and Hospice Transactions

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      • December 14, 2016

        Les Levinson Moderates BRG Leadership Conference

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      • December 8, 2016

        Health Care Lawyers Speak on Bundled Payment Programs Post Election

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      • November 29, 2016

        Les Levinson Presents at Privcap Healthcare Conference

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      • August 24, 2016

        Les Levinson Moderates and Presents on Home Health and Hospice Transactions

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      • May 18, 2016

        Les Levinson Moderates Health Care Services M&A Round Table

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      • August 24, 2015

        Les Levinson Moderates Webinar on Home Health and Hospice M&A

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      • December 1, 2014

        New York Lawyer Speaks at Annual HCap Conference

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      • December 11, 2013

        Robinson & Cole Elects Four New Partners and Promotes Six Counsel

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      • November 1, 2013

        Robinson & Cole Receives 34 First-Tier Metropolitan Rankings and Three National Rankings in U.S. News – Best Lawyers Survey

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      • October 21, 2013

        Super Lawyers® Names 61 Robinson & Cole Attorneys to 2013 List

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      • September 3, 2013

        Hartford Office Lawyers Elected to Executive Committee of CBA's Young Lawyers Section

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      • August 16, 2013

        Robinson & Cole Receives Top Listing in Connecticut Attorney Count in Best Lawyers National Peer Review Survey

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      • June 10, 2013

        Chambers USA Ranks Robinson & Cole in Five Practices, Names 17 Attorneys as Leading Lawyers

      • February 11, 2013

        Ted Tucci Quoted in Law360 Article for Health Law

      • December 21, 2012

        Robinson & Cole Attorneys Appointed to Board of Directors of Nonprofits

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      • November 7, 2012

        Robinson & Cole Receives 32 First-Tier Metropolitan Rankings and Four National Rankings in U.S.News - Best Lawyers Survey

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      • October 22, 2012

        Super Lawyers® Names 49 Robinson & Cole Attorneys to 2012 List and Recognizes 26 as Rising Stars

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      • August 28, 2012

        Robinson & Cole Receives Top Listing in Connecticut Attorney Count in Best Lawyers National Peer Review Survey

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      • August 2, 2012

        Ted Tucci on Panel Discussion about the Supreme Court’s Ruling on Health Care

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      • June 30, 2012

        Theodore J. Tucci to Participate in the Metro Hartford Alliance’s Panel Discussion on the U.S. Supreme Court’s Ruling on Health Care Reform

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      • June 7, 2012

        Chambers USA Ranks Robinson & Cole in Five Practices, Names 16 Attorneys as Leading Lawyers

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      • January 19, 2012

        Robinson & Cole Welcomes New Health Law Attorneys

      • October 19, 2011

        Class Dismissed! Appellate Team Wins Summary Judgment for Health Insurer

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      • June 17, 2011

        Chambers USA Ranks Robinson & Cole in Six Practices, Names 12 Attorneys as Leading Lawyers

      • June 14, 2011

        Health Law Attorneys Publish ACO Regulations Article in Connecticut Law Tribune

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      • June 8, 2011

        Robinson & Cole Attorneys Present Webinar on Accountable Care Organizations (ACOs)

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      • May 13, 2011

        Attorneys Present Webinar on Accountable Care Organizations

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      • May 5, 2011

        Robinson & Cole Attorneys Present Medicaid Audit Defense Seminar

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      • December 15, 2010

        Health and Benefits Litigators Win “Appropriate Care” Disability Insurance Case

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      • December 6, 2010

        Health Care Attorneys Talk Strategy with Hospitals

      • November 1, 2010

        VNA Health Care Elects Attorney to Board of Directors

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      • September 17, 2010

        Robinson & Cole LLP Receives Most Connecticut First-Tier Rankings in Inaugural U.S.News - Best Lawyers Survey

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      • August 12, 2010

        Health Law Group Hosted Webinar on New Electronic Health Record Requirements

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      • June 14, 2010

        Robinson & Cole Partner Quoted in Hartford Business Journal on Health Care Reform Impact to Local Businesses

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      • June 4, 2010

        Robinson & Cole Attorneys Author CT Law Tribune Article on Expansion of Fraud and Abuse Laws Under Reform Legislation

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      • May 20, 2010

        Robinson & Cole Attorneys Featured in Health Care Reform Book

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      • April 28, 2010

        Robinson & Cole Attorney Speaks at Regional Economic Development Forum

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      • October 12, 2009

        Connecticut Governor Appoints Robinson & Cole Attorney to Advisory Committee

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