Healthcare
BVR provides best-in-class healthcare value resources on risk management and cost of capital implications, specialty practice benchmarking, the effect of healthcare reform on future cash flows, and much more. Whether you're a healthcare executive, a physician practice owner or a valuation professional, you're covered with BVR's healthcare resources.
Guides & Books
BVR’s Guide to Physician Practice Finance and Valuation, Fourth Edition
April 2024
The Healthcare industry is as dynamic and ever-evolving as modern medicine is. BVR’s Guide to Physician Practice Finance and Valuation, 4th Edition isn’t just an update, it’s a completely reworked look at the key issues impacting healthcare valuation. Keep up on the latest insights relating to regulatory changes, insurance considerations, the lingering effects of both inflation and COVID-19, how Stark regulations influence the industry and much more!
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Business Valuation Case Law Yearbook, 2024 Edition
January 2024
The legal coverage and in-depth analysis from the BVR legal team including an Introduction by Jim Alerding, BVR Legal Editor delivers lessons learned to help appraisers reach better and more defensible valuation conclusions. The 2024 Yearbook illustrates how financial experts helped their side win (and lose) in the courtroom and includes 70 new cases that were added to BVLaw in 2023.
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Business Valuation Update Yearbook, 2024 Edition
January 2024
Another year has come and gone and it's time again for one of BVR's “greatest hits” publications! The Business Valuation Update Yearbook 2024 covers the previous year’s most groundbreaking and thought-provoking advancements in valuation. It captures changes in regulations and professional standards, key takeaways from professional conferences, and tactical practice-building ideas. This critical desktop reference puts you ahead of the competition with on-the-ground reporting by the BVR editorial team including an Introduction by Andy Dzamba, BVR Executive Editor and insights from notable BV experts.
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Engagement Guide to Understanding and Valuing Medical Practice Specialties
April 2023
Mastering the numerous physician specialty services is an especially nuanced and challenging aspect of medical practice valuations. Mark Dietrich’s new Engagement Guide to Understanding and Valuing Medical Practice Specialties delivers the hands-on, practical guidance any practitioner needs to complete the most accurate conclusions possible
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Business Valuation Update Yearbook, 2023 Edition
January 2023
It's that time of year again, BVR's “greatest hits” publication is here! The Business Valuation Update Yearbook 2023 covers the previous year’s most groundbreaking and thought-provoking advancements in valuation. It captures changes in regulations and professional standards, key takeaways from professional conferences, and tactical practice-building ideas. This critical desktop reference puts you ahead of the competition with on-the-ground reporting by the BVR editorial team including an Introduction by Andy Dzamba, BVR Executive Editor and insights from notable BV experts.
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The Complete Guide to Fair Market Value Under the Stark Regulations
August 2022
Published in collaboration with American Association of Provider Compensation Professionals (AAPCP), this timely new Guide by healthcare valuation expert Timothy Smith delivers a critical and in-depth assessment of the new definitions of fair market value (FMV) under the recently updated regulations for the federal physician self-referral law – the Stark law. The updated regulations make critical changes in how accepted valuation principles and practices are used to determine Stark FMV.
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Business Valuation Update Yearbook, 2022 Edition
January 2022
A new year means another annual “greatest hits” publication! The Business Valuation Update Yearbook 2022 covers the previous year’s most groundbreaking and thought-provoking advancements in valuation. It captures changes in regulations and professional standards, key takeaways from professional conferences, and tactical practice-building ideas. This critical desktop reference puts you ahead of the competition with on-the-ground reporting by the BVR editorial team including an Introduction by Andy Dzamba, BVR Executive Editor and insights from notable BV experts.
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Business Valuation Update Yearbook, 2021 Edition
January 2021
Always a highly-anticipated annual publication, the Business Valuation Update Yearbook 2021 covers the year’s most groundbreaking and thought-provoking advancements on valuation methodologies in the face of a global pandemic. It also captures, changes in regulations and professional standards, key takeaways from the best virtual conferences, and tactical practice-building ideas. This critical desktop reference puts you ahead of the competition with on-the-ground reporting from valuation experts, thought-leaders, and BVR’s expert editorial and legal teams.
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BVR Briefing – The Real Story of COVID-19 For Valuation and Litigation Experts
September 2020
Healthcare valuation expert Mark Dietrich (Mark O. Dietrich CPA, PC) has done over a hundred hours of research digging into the “science” of COVID-19—its origin, how it spreads, protection methods, testing, and other issues. You might wonder what all of this has to do with the valuation and financial community. The answer is that for the economy to recover, these matters must be understood.
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Business Valuation Update Yearbook, 2020 Edition
January 2020
BVR has you covered with the Business Valuation Update Yearbook 2020. This newest edition from the publishers of Business Valuation Update covers the year’s most groundbreaking and thought-provoking advancements in business valuation, and more. This critical desktop reference keeps you ahead of your peers with on-the-ground reporting from valuation experts, thought-leaders, and BVR’s editorial team.
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Business Valuation Update Yearbook, 2019 Edition
February 2019
BVR has you covered with the Business Valuation Update Yearbook 2019. This newest edition from the publishers of Business Valuation Update covers the year’s most groundbreaking and thought-provoking advancements in business valuation, and more. This critical desktop reference keeps you ahead of your peers with on-the-ground reporting from valuation experts, thought-leaders, and BVR’s editorial team.
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Business Valuation Update Yearbook, 2018 Edition
February 2018
BVR has you covered with the Business Valuation Update Yearbook 2018. This newest edition from the publishers of Business Valuation Update covers the year’s most groundbreaking and thought-provoking advancements in business valuation, and more. This critical desktop reference keeps you ahead of your peers with on-the-ground reporting from valuation experts, thought-leaders, and BVR’s editorial team.
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BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements, Second Edition
October 2017
This new guide challenges and deconstructs the industry’s current standard for the fair market value (FMV) of physician clinical compensation based on the exclusive use of survey data and certain percentile-based valuation methods. Itdebunks the current “survey says” paradigm and provides the foundation for a completely new standard for the FMV of physician clinical compensation.
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Business Valuation Update Yearbook, 2017 Edition
February 2017
BVR has you covered with the Business Valuation Update Yearbook 2017. This newest edition from the publishers of Business Valuation Update covers the year’s most groundbreaking and thought-provoking advancements in business valuation including IRC Sec. 2704, DLOM, cost of capital, and more. This critical desktop reference keeps you ahead of your peers with on-the-ground reporting from valuation experts, thought-leaders, and BVR’s editorial team.
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BVR Guide to Ancillary Healthcare Services Valuation
December 2016
In the new BVR Guide to Ancillary Healthcare Services Valuation, 15 of the top U.S. healthcare valuation experts have contributed a collection of tried and true methods infused with new and innovative approaches that will challenge the future direction of healthcare valuation.
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Business Valuation and Healthcare Case Law Compendium
September 2016
BVR’s new Business Valuation and Healthcare Case Law Compendium features the most discussed and the most recent court cases involving business valuation disputes in the healthcare industry. Our legal analysts have crafted this one-of-a-kind resource, which breaks down the cases and the decisions to save you hours of research.
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BVR's Guide to Physician Practice Valuation, Third Edition
August 2016
BVR's Guide to Physician Practice Valuation, Third Edition is the essential resource for understanding the complexities inherent in physician practice valuation, whether for sale to a hospital, private equity firm, or to another physician. Edited by renowned healthcare valuation thought leader Mark Dietrich, CPA/ABV, with contributions from 21 of the top healthcare valuation experts and attorneys in the profession, this new guide provides healthcare administrators, appraisers, and attorneys with current and comprehensive "how-to" guidance on valuation approaches in this evolving industry.
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The BVR/AHLA Guide to Healthcare Industry Finance and Valuation, Fourth Edition
May 2016
The new edition of the BVR/AHLA Guide to Healthcare Industry Finance and Valuation, is the premier resource for appraisers, attorneys, and healthcare administrators involved in any healthcare valuation. Edited by renowned valuation thought leader Mark Dietrich, and co-published with the American Health Lawyers Association (AHLA), this comprehensive guide addresses all aspects of healthcare valuation.
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Business Valuation Yearbook 2016
February 2016
Keep up with business valuation’s most innovative approaches and techniques, new court decisions, and regulatory and professional standards updates. BVR has you covered with the Business Valuation Update Yearbook 2016. This newest edition from the publishers of Business Valuation Update covers the year’s most groundbreaking and thought-provoking advancements
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BVR Legal and Court Case Yearbook 2016
February 2016
The BVR Legal and Court Case Yearbook 2016 is essential for business appraisers and attorneys who want to stay ahead of their peers on the most important legal issues confronting business valuation. With in-depth analysis from BVR’s legal team, the lessons learned in this book help appraisers come to better and more defensible valuation conclusions.
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Business Valuation Update Yearbook 2015
February 2015
BVR has you covered with the latest news in the business valuation profession! Get your Business Valuation Update Yearbook 2015 now to stay up to date with the most innovative approaches and techniques, leading conferences, new court decisions and changes in regulations and standards in the profession with on-the-ground reporting from valuation experts, thought-leaders and the BVR editorial team.
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BVR Legal and Court Case Yearbook 2015
February 2015
The BVR Legal and Court Case Yearbook 2015 is essential for business valuation professionals and attorneys to stay current on the most important legal issues confronting the profession. The Yearbook covers marital disputes, breach of contract actions, damages, dissenting shareholder disputes, estate and gift tax cases, federal taxation, intellectual property cases, bankruptcy litigation, and more.
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Physician Practices: Key Value Drivers in a Changing Environment (PDF)
December 2012
With health reform initiatives driving the frantic pace of physician practice acquisitions, both hospital systems and physician practices are positioning their organizations for success in a new environment. Physician Practices: Key Value Drivers in a Changing Environment discusses the drivers of physician practice value, poses critical questions to ask and analyses to undertake for a successful acquisition, and shares lessons learned from industry peers.
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Training
Black Scholes Option Model: Global Education by iiBV (eLearning Course)
The Black Scholes Option Model was first published in 1973, but the applicability in valuation is strong to this day. Join iiBV expert Andrew Strickland as he dissects and explains the various components of the models, and how they can be utilized in your valuation.
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Excel for Valuation: Beginner to Advanced (eLearning course)
Whether you're new to the field or a veteran business valuation practitioner, there is no tool more critical than Excel. BVR's new eLearning course, "Excel for Valuation: Beginner to Advanced," will catapult your Excel knowledge and skills so you can work as efficiently as possible with spreadsheets, formulas and functions. You can customize the course to match your skill level; start with the very basics or jump right into more complex areas. The eLearning combination of video, notes, take-away templates, quizzes, and exercises ensure you will remain thoroughly engaged for the duration of the course.
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International Business Valuation Standards and Ethics (eLearning course)
Valuation is a global profession, and for many that means complying with the new 2020 International Valuation Standards and Code of Ethical Principles. This comprehensive eLearning course delivers what you need to know to demonstrate global valuation competency and understand the significant changes to the standards. See practical and relevant examples by working through an actual case study that follows all of the logical steps of a valuation engagement. Hold yourself to a higher global standard and be prepared to venture wherever your next valuation assignment takes you.
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International Cost of Capital: Global Education by iiBV (eLearning course)
The income approach is the most relied upon approach for most valuations, and determining the cost of capital for your engagement for a non-U.S. company is often difficult due to lack of local data. Utilizing commonly applied models in developing international cost of capital, such as relative volatility models or country yield spread models, is critical for success. Learn the shortcomings of each model in terms of their ability to capture the systematic and unsystematic risk in a subject company.
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Masterclass in the Valuation of Family Limited Partnerships and LLCs (eLearning course)
As professional appraisal methodology has advanced, so has the valuation of family limited partnerships (FLPs) and limited liability companies (LLCs). Adopting an analytical method for valuing FLPs and LLCs using the income and market approaches allows appraisers to more accurately and objectively determine a value that can withstand the scrutiny of IRS challenges. Experts Bruce Johnson, Jim Park, and Spencer Jefferies conduct case studies to teach the best practices for valuing noncontrolling, nonmarketable FLP and LLC interests.
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Monte Carlo: Applications, Examples and Best Practices for Valuation (eLearning course)
As complexity and uncertainty continue to increase, business valuation experts must up their game to master the challenges that accompany today's engagements. Rise to – and soar beyond – the occasion using Monte Carlo simulations, an indispensable method for advanced valuation scenarios. This eLearning course, "Monte Carlo: Applications, Examples and Best Practices for Valuation" distills the best instruction and content on the topic.
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Valuing Early Stage Companies: Global Education by iiBV (eLearning course)
Early stage companies are challenging to value. Often with undeveloped or even no revenue these companies require a unique set of tools for a business valuer. Learn the common models used to deploy valuations in this area such as the Current Value Method, Option Pricing Model, and the Probability Weighted Expected Return Method (PWERM), along with their shortcomings.
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Valuing Intangible Assets: Global Education by iiBV (eLearning course)
Every valuation professional needs to be able to identify the differences between intangible and tangible assets. The first step is to define the major categories of intangible assets and understand the common models used to determine value. Often the purpose of intangible valuation is for financial reporting contexts, including purchase price allocation. Join Jon Barton in this fundamental eLearning course that builds on core valuation concepts with in depth lectures and Excel-based case studies.
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Valuing Minority Interests: Global Education by iiBV (eLearning course)
Valuing a partial interest in a business is difficult, and when that interest is a minority ownership stake the impact to value can be significant. In this eLearning course, led by John Barton, you’ll learn methods to adjust for and quantify minority discounts. Control is a key issue, and understanding the multiple methods an appraiser can utilize is critical to a defensible valuation.
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15
/ November
2023
Power Panel: Healthcare BV and the New Stark Regulations, Part 2
03
/ May
2023
Healthcare Valuation: Marquee Topics 2023
20
/ April
2023
Valuing Specialty Medical Practices
03
/ August
2022
Important Provider Compensation Topics in 2022
23
/ February
2022
Healthcare Valuations: A Check Up
12
/ January
2022
Practical Considerations for Valuing Imaging Centers
Deal & Market Data
First Research Profiles
First Research Industry Profiles, State Profiles, and Canadian Province Profiles provide detailed industry and economic analysis in thousands of segments. In a matter of minutes you can gain key insights into your industry or geographic area. Reports are available on a subscription or single report basis.
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News & Research
Business Valuation Update
The Business Valuation Update (BVU), a monthly newsletter with searchable online access, includes new thinking from leading professionals, detailed reports from valuation conferences, analysis of new business valuation approaches, thorough analysis of “landmark” legal cases in key business valuation issues, regulatory and standards updates, and much more.
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BVLaw
Turn to the exclusive BVLaw collection, which includes case digests and court opinions for thousands of business valuation and damages cases that deal with economic damages, lost profits, estate and gift tax, divorce, shareholder repression, partnership dissolution, securities litigation, and more.
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Blog Posts
05
/ December
2019
Regulatory Considerations Affecting Tax-Exempt Healthcare Entities
In addition to IRS and taxation considerations, tax-exempt healthcare entities must comply with the same federal and state regulations regarding the transfer of property or services as for-profit entities. Outlined in The BVR/AHLA Guide to Healthcare Industry Finance and Valuation, 4th edition, the chapter author Robert F. Reilly, MBA, CPA/ABV/CFF, provides a brief overview of some of the regulatory considerations that a valuation analyst should be aware of in property or services transfer transactions. Read more >>
09
/ September
2019
Top questions valuators should be prepared to answer when valuing a healthcare business
In BVR’s recent webinar, The Devil in the Valuation Details: Top 10 Questions Lawyers and Healthcare Organizations Ask, experts Jessica Stack and Denise Palencik (both of Veralon) covered the top 10 questions that valuation analysts should be prepared to answer when valuing a healthcare business. Here, we summarize five of the questions and answers. Read more >>
29
/ July
2019
Key challenges facing hospitals and what you need to know before valuing them
Hospital valuations require a thorough understanding of the industry and, specifically, the challenges and opportunities related to the Affordable Care Act (ACA) and overall transformation within the healthcare industry. In BVR’s publication, Guide to Ancillary Healthcare Services Valuation, contributors G. Don Barbo and Robert M. Mundy cover some of the top challenges hospitals face and how these challenges have changed the way hospitals conduct business. Read more >>
23
/ May
2019
When the marriage is over, what is the physician practice worth?
When a physician gets divorced, the value of his or her ownership interest in the practice is often included as an asset for property distribution purposes. In the BVR/AHLA Guide to Healthcare Industry Finance and Valuation, contributing author Stacey D. Udell dives into how the value of a physician practice is based on the valuator’s informed judgment applied to the specific facts and circumstances. Read more >>
21
/ February
2019
7 Tips for Valuing—and Designing—Buy-In and Buyout Agreements for Medical/Dental Practices
Healthcare valuation expert Mark Dietrich, who has more than 40 years of experience designing and valuing buy-in and buyout agreements, recently wrote an article for the Business Valuation Update identifying a number of best practices for both valuation analysts and consultants with respect to these matters. Read more >>
18
/ January
2019
Five Hospital Value Drivers That Can Influence a Valuation
Many factors can influence the value of a hospital. It is imperative that a business appraiser undertaking these complex assignments is both mindful and understanding of the unique circumstances and nuances inherent in valuation within this industry in order to generate a sound opinion of value. Read more >>
04
/ December
2018
Key Points for Developing Compensation Valuation Report Content for a Healthcare Appraisal
No specific professional standards govern the content and requirements for appraisal reports in compensation valuation (CV), and there is very little professional literature on this topic. In the BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements, author Timothy Smith looks to the business valuation standards and discusses how to adapt and expand on these standards to address areas that are unique to CV practice and appraisal issues. Read more >>
15
/ October
2018
Home Hospice Companies: Top Trends and Value Drivers
Valuation experts faced with valuing a home hospice business may think it is similar to other home health service businesses, but, while there are similarities, some material differences can affect a valuation. In a recent BVR webinar, Hospice Valuation: Trends, Value Drivers and Physician Compensation, experts Darcy Devine and William Hamilton, both of Buckhead FMV, gave an overview of what exactly a home hospice business is and some of the main factors to consider when valuing these types of companies. Read more >>
30
/ August
2018
Common pitfalls to avoid in healthcare valuation engagements
In BVR’s recent webinar, Healthcare Valuation: Approaches to Value and Common Pitfalls, experts Nicholas Janiga and Fred Lara (both of Healthcare Appraisers) covered the most common pitfalls to avoid when working on a healthcare valuation engagement. Watch the clip on the issues that can arise in these types of engagements. Read more >>
02
/ August
2018
Healthcare valuation 101: Surgery center case study
In BVR’s recent webinar, Healthcare Valuation 101, Jim Lloyd and Kathryn Culver (both of PYA) presented a case study in which their client engaged them to value a controlling interest in a multispecialty surgery center. Keep reading for the key facts on the case and be sure to watch the webinar clip in which the presenters cover the case study in detail. Read more >>