Lanchi Nguyen Bombalier

Represented a publicly traded REIT in a $1.125 billion acquisition and restructuring of a senior housing provider that operates 96 senior-living communities as well as pharmacies in the Midwest.

Represented a private equity client in its acquisition of a leading national provider of business support services to 350 dental offices in 17 states. AGG’s team worked to deliver regulatory diligence and transaction regulatory support, as well as credit facility-driven post-transaction regulatory work.

Conducted internal investigations for multiple national health care providers to provide advice on compliance issues and determine self-disclosure and other reporting obligations under state and federal law.

Represented multiple long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, home health agencies, and hospice providers in responding to Medicare Program Integrity audits and related reimbursement appeals before the Centers for Medicare & Medicaid services, including Administrative Law Judge hearings at the Office of Medicare Hearings and Appeals.

Counseled a national provider of long-term care services in a multi-state restructuring and acquisition of a large national provider of nursing home and rehabilitation services, which included consideration of change of ownership, certificate of need, Medicare, and Medicaid regulatory issues.

Assisted a national REIT in its minority investment in a portfolio of a variety of healthcare providers, including assisted living, memory care, hospice, and private-pay in-home care. The providers were located in multiple states, including Arizona, California, Illinois, Texas, Utah, Washington, and Wisconsin. AGG’s involvement included in-depth diligence, including a review of the providers’ licenses, permits, certifications, and accreditations, PEPPER reports, government investigations and surveys, hospice cap calculations, compliance program, background screening, HIPAA, medical directorships, admission agreements, commercial payor audits, and corporate practice of medicine. AGG also assisted with preparing the underlying investment agreement and related disclosure schedules.

Advised a private equity client on its acquisition of a national operator of more than 100 outpatient physical therapy clinics with a strong presence in the Southeast. AGG’s role included healthcare regulatory diligence, regulatory input for the transaction documents, and interfacing with lender counsel and reps and warranties underwriters.

Advised Griffin-American Healthcare REIT III, Inc. and NorthStar Healthcare Income, Inc. in their $1.125 billion joint-venture acquisition of controlling interest in Trilogy Investors LLC, the parent company of Trilogy Health Services LLC, a leading owner-operator of integrated senior healthcare campuses, operating approximately 100 properties comprised of more than 10,000 beds throughout Indiana, Ohio, Michigan and Kentucky.

Represented a national pain management company address state and federal regulatory matters related to acquisitions and subsequent corporate reorganization.

Served as healthcare regulatory counsel for a large national for-profit hospice provider on day-to-day operational and compliance matters, including issues related to certification, reimbursement, payor audits and appeals, and de novo growth, as well as in acquisitions and the restructuring of the company related to private equity investment.

Advised and guided multiple providers through the regulatory audit process by a Medicare and Medicaid contractor.

Assisted with counseling a national nursing home provider on government investigations for fraud and abuse.

Assisted with state and federal regulatory filings for national providers of health care services across the continuum of care (i.e., short-term post-acute rehabilitation, skilled nursing, long-term care services, home health, hospice, behavioral health, etc.).

Counseled a non-profit healthcare provider on the Georgia Hospital Authority Act, including related Certificate of Need, licensure, and Medicaid rules and regulations related to a corporate reorganization.

Counseled a private equity firm investing in healthcare providers on a national basis on various state regulatory requirements related to change of ownership and change of control.

Represented a hospice provider in the acquisition of a hospice company with more than 60 locations in 14 states.

Represented a private investment management firm in an $870 million acquisition of the real estate and transfer of operations to 4 separate operating entities for over 160 senior care facilities across 12 states, including both skilled nursing and assisted living facilities.

Represented one of the nation’s largest private post-acute care providers in a merger with a publicly traded post-acute care provider resulting in a combined publicly traded company with annual revenues of $5.5 billion.

Supported complex regulatory due diligence reviews for a large private equity firm interested in acquiring an outpatient therapy provider.