Board Certified in Health Law, Trent Krienke advises hospitals, physicians, nursing facilities and other health care providers in connection with compliance matters, regulatory and operational issues, and business transactions.
Trent is recognized by The Best Lawyers in America in the specialty of Health Care Law and is ranked in Healthcare by Chambers USA. He represents clients in a wide range of health care transactional matters, such as the purchase and sale of facilities, financing, and structuring joint ventures and other arrangements to comply with state and federal statutes and regulations. He has substantial experience with the Texas 1115 Medicaid Transformation Waiver and the Quality Incentive Payment Program for Nursing Homes (QIPP). Trent has also assisted health care providers on issues ranging from Medicare overpayment allegations to disclosures under the Stark Self-Disclosure Protocol.
Trent received his J.D. from Baylor University School of Law and graduated with a B.S. from the University of Texas at Austin. He holds a certificate in International Business Law from Tulane University.
Trent currently serves as a council member for the Health Law Section of the State Bar of Texas.
J.D., Baylor University School of Law, 2007
B.S., University of Texas, 2002
Tulane University, International Business Law (Certificate, Summer 2005)
Board Certified in Health Law, Texas Board of Legal Specialization
Represented public hospitals and governmental entities in the acquisition over 700 nursing facilities for participation in the Quality Incentive Payment Program for Nursing Homes (QIPP)
Represented licensed operators of nursing facilities in connection with the purchase of over 100 nursing facilities by a publicly traded company. Following the purchase, the facilities were leased to a third-party management company under a long-term triple-net master lease and then subleased to the licensed operators.
Represented nursing facility owner in its sell of 14 skilled nursing facilities financed through a public offering of tax-exempt bonds together with private debt that was purchased by the seller
Advised a nonprofit hospital regarding the sale of substantially all assets to a third-party hospital operator and related antitrust issues raised by the Department of Justice
Represented hospital authority in the planning, financing, management and construction of a replacement nursing facility
Represented hospital system in a comprehensive compliance review of all physician arrangements and worked closely with management to negotiate and prepare amended contracts with individual physicians
Represented hospital district in the formation of a new political subdivision to own and operate a local public hospital
Council Member, Health Law Section of the State Bar of Texas
– Member, American Health Lawyers Association
– Quality Council, American Health Lawyers Association, 2014 – 2018
– Leadership Development Program, American Health Lawyers Association, 2014 – 2015
Young Professionals Council, American Health Lawyers Association; Vice Council Chair, 2011 – 2014
– Member, Austin Bar Association, Health Law Section
Secretary, Austin Bar Association, 2015 – 2017
Member, Austin Young Lawyers Association
Chambers USA: America’s Leading Business Lawyers in Texas Health Law, 2019–2025
The Best Lawyers in America® in Health Care Law, 2024‐2026
“Texas Rising Stars” in Health Law by Super Lawyers®, 2020
State Bar of Texas
Board of Directors, TreeFolks, Inc., 2009-2013
Texas Exes, Life Member
Westlake Alumni Association, Life Member
901 S. Mopac, Suite 290, Barton Oaks Plaza IV, Austin, TX 78746
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phone 512 660 5960 | fax 512 660 5979
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