The Stark Law, the anti-kickback statute, the False Claims Act, and Internal Revenue Service 501(c)(3) status all include regulations and sanctions requiring that transactions in the healthcare field be both commercially reasonable and at fair market value. While appraisers and businesses have refined the definition of fair market value over the past several years, such consensus and guidance on commercial reasonableness has yet to be created. Despite this, increased government commentary has underscored the need to understand and ensure that this requirement is met for all financial arrangements between parties in a position to refer. In Part 5 of BVR's 2013 Online Symposium on Healthcare, series curator Mark Dietrich and expert attorney James Pinna address the requirements the many statutes regulating healthcare transactions set forth and what appraisers need to know in order to be in compliance with their stipulations of standards of value and commercial reasonableness.