Long-Term Care

The Long-Term Care practice represents clients in all aspects of acquisition and development, including licensing, construction contracting, project permitting, due diligence and deal negotiation and documentation. We assist clients in formation of entities and in structuring transactions, with particular emphasis on tax matters, operating control and profit allocation.

Murtha Cullina’s attorneys are intensely aware of the cost and reimbursement pressures imposed on today’s long-term care providers and their need for superior value in legal services. Because our attorneys are intimately familiar with this challenging business environment, we are able to focus our efforts on developing practical, cost-effective solutions to legal problems. Clients will find our rates highly competitive. Our team approach allows us to utilize attorneys with different levels of experience in numerous areas to achieve an appropriate, cost-effective fee structure and true value for every client, on every matter, every time.

We provide legal counsel to clients in all manner of debt transactions in both the commercial and tax-exempt sectors, including working capital and acquisition financing.  We have extensive knowledge of financing requirements for tax-exempt bonds.  We assist our clients in documenting hedging transactions to control interest rate risk and credit enhancements to reduce interest cost.

We also regularly represent businesses with structuring and completing debt and equity capital raising transactions that are exempt from federal and state registration requirements.  We have extensive experience negotiating financing transactions involving venture capitalists, private placements and other alternative financing sources.

Our labor and employment attorneys counsel clients on all aspects of the employment relationship, including assistance with personnel policies, wage and hour issues, employment discrimination matters, responding to OSHA citations and defending claims of wrongful discharge. We represent management in labor organizing matters, contract negotiations, strikes and strike avoidance, and enforcement proceedings before federal and state agencies.  In addition, our attorneys provide counseling and education to help management avoid employment problems before they arise.

Our litigation attorneys regularly represent long-term care clients in Massachusetts and Connecticut on a variety of  business disputes, contract actions, Uniform Commercial Code actions as well as tort claims. In addition,  we have extensive experience representing  long-term care  clients on collection and eviction matters.

Our attorneys have an outstanding record of service to industry and professional groups and with government-industry partnerships, including serving on the boards of the Connecticut Assisted Living Association (CALA) and the Connecticut Association for Long-Term Care Financial Managers. In addition, we are members of the Massachusetts Assisted Living Facilities Association (Mass-ALFA) and the Massachusetts Senior Care Association. Members of the practice serve on key committees of national long-term care associations and are frequent speakers before state and national for-profit and not-for-profit audiences.

The attorneys in the Long-Term Care practice have extensive experience in working with clients in project turn-arounds.  This work includes acquisition of troubled facilities out of bankruptcy, foreclosure and receiverships. We also represent distressed facilities in workouts, restructurings and sales.  Receivers and restructuring officers of troubled facilities have often turned to our lawyers for assistance.

Our attorneys have extensive experience in regulatory matters, including representing clients before state and federal agencies, including the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG).  Our attorneys have experience with initial licensing and changes of ownership, rate appeals, Medicare and Medicaid audits, IDRs and IIDRs, HIPAA, and corporate compliance.  We assist clients in drafting and reviewing policies and procedures, contracting, investigations and a wide range of other risk management issues.