Jessica Tobin Grozine

Jessica is a partner in Arnall Golden Gregory’s Healthcare practice and co-chair of its Healthcare Real Estate industry team. Her practice focuses on federal and state healthcare regulation. She advises nursing homes, assisted living facilities, hospices, home health agencies, pharmacies and other healthcare providers on operational and compliance questions, certificate of need, health information privacy, and Medicare and Medicaid reimbursement.

Jessica also handles the regulatory aspects of healthcare transactions, including acquisitions, financings, dispositions, asset transactions and investments. Her work extends to general healthcare transactions, connecting regulatory requirements with providers’ day-to-day operations and business decisions. A frequent author on healthcare topics, she has published in the Georgia Bar Journal and American Health Lawyers Association publications.

• Handled all regulatory aspects of a $4.2 billion merger of two non-traded healthcare REITs, which created a new REIT with properties across 36 states, as well as in the United Kingdom and Isle of Man. The REIT is comprised of senior housing, skilled nursing, medical office buildings, and hospitals. The merger was completed in preparation for a potential public offering. If the public offering occurs, it is predicted to be the largest-ever for a healthcare REIT.
• Advised a national REIT in its tax restructuring, which involved more than 140 facility operators in 33 states and five separate third party management companies, with changes of ownership triggered in most states. In addition to providing structure advice, AGG prepared all filings and obtained all regulatory approvals required for the restructure, including all pre- and post-closing filings.
• Represented a publicly traded REIT in all regulatory aspects of its transfer of management of 90 senior living communities in 20 states. The communities had been adversely impacted by the COVID-19 pandemic and were transferred to eight different third-party managers.
• Advised client in its merger with a national skilled nursing provider, with operations in Alabama, Kansas, Mississippi, Missouri, Ohio, Indiana, Tennessee, and Texas, totaling sixty-one separate facilities with 7,250 skilled nursing beds. AGG handled all pre- and post-closing regulatory submissions, including obtain pre-closing regulatory approvals on an expedited basis.
• Advised a private equity client in its stock acquisition of a Florida independent clinical laboratory company. AGG performed regulatory diligence on the seller, including reviewing its licensure, CLIA certifications, and Medicare and Medicaid enrollment, HIPAA compliance, anti-kickback compliance. AGG also provided regulatory comments to the transaction agreement and completed required filings, which were complicated by Florida requirements deeming certain clinical laboratory stock transactions a full change of ownership.
• Represented a national home health provider in its membership interest acquisition and entity conversion of an existing Florida home health agency with five locations. Because Florida deems a direct ownership change a full change of ownership, the membership interest purchase triggered extensive licensure and Medicaid filings, as well as notifications and filings for nine third party payors, which included managed care organizations and school boards. Due to COVID-19, there were also certain survey issues which also required post-closing navigation of virtual “on-site” compliance reviews for Medicaid purposes. AGG also assisted with drafting of transaction documents and an in-depth regulatory diligence review.
• Advised on all regulatory aspects of the development and operations of a new Georgia Continuing Care Retirement Community (CCRC). AGG prepared and shepherded the CCRC in its application, survey, and receipt of state nursing home and assisted living community licenses, CLIA waiver certificates, and Medicare Part A and Part B enrollments on a short timeline.

• Georgia State University College of Law, Juris Doctor, magna cum laude
• University of Georgia, Bachelor of Arts - Journalism, magna cum laude

Bar Admissions

• State of Georgia – 2008

Court Admissions

• Supreme Court of Georgia – 2009
• United States Court of Appeals for the Eleventh Circuit – 2009
• United States District Court for the Northern District of Georgia – 2009

• Best Lawyers in America®, Health Care Law, 2023-27

• American Bar Association, Section of Health
• American Health Lawyers Association
• Georgia Academy of Health Care Attorneys