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Why You Need to Use Local Market Rates for FMV in Physician Compensation and How to Calculate Them
Whether the determination of reasonable compensation is being used in a business valuation, divorce valuation, or an employment setting, "Survey Says" has become as popular in compensation valuation as it is in the game show "Family Feud." This seminar introduces a new paradigm for the evaluation of physician fair market compensation based on hundreds of hours of research, modeling, and writing by Mark Dietrich, a nationally recognized author, speaker, and expert in the field of ...
Healthcare Valuation 101
The U.S. healthcare industry is very large, complex, and changing rapidly. This highly regulated industry is also significant users of valuation services. “Fair market value” opinions are commonly requested in connection with entity transactions, affiliations and joint ventures, and various physician compensation arrangements. Failure to consummate transactions at fair market value can result in substantial financial consequences. If you are involved in healthcare transactions or interested in providing valuation services within this exciting sector, join ...
Valuing Physician Administrative Compensation: Market Trends and Advanced Issues
In employing physicians for administrative services, hospitals, long-term care facilities, pharmaceutical and device manufacturers, and other healthcare providers have established a payment structure that has recently been attracting increased regulatory activity. As with many facets of physician compensation, though, these arrangements and their valuation confront a complex set of issues regarding legal, regulatory, and economic considerations. Each of these plays an important part in the valuation process, from methodology through standards of value. In Part ...
Healthcare Valuation: Marquee Topics 2023
The healthcare industry is a different place than it was even just three years ago. The combined result of the COVID-19 pandemic, regulatory changes, and reimbursement shifts have transformed the landscape for all healthcare industry stakeholders. This presentation will provide an overview of what we anticipate to be the most important topics of 2023 (from investing in behavioral health to increasing private equity and venture capital involvement) and their associated implication for healthcare valuation.
Personal/Professional v. Practice Goodwill in Medical Practice Valuations
Regardless of the valuation assignment, determinations of goodwill can be a critical step in the appraisal process. Whether for the purposes of marital dissolution or in the allocation of purchase price for tax or financial reporting purposes, separating personal from enterprise goodwill has been a challenge to appraisers across the board but particularly so in healthcare valuations. In Part 9 of BVR's Online Symposium on Healthcare Valuation, series curator Mark Dietrich takes an in-depth look at ...
The Volume or Value Standard: Navigating the Stark Laws
As evidenced by a wave of recent cases and settlements, the federal government continues to focus on the federal physician self-referral law (Stark Law) and its implementing regulations. Despite recent enforcement actions, the prohibition on the "taking into account" of designated health services referrals continues to receive far less industry attention than the fair market value or commercial reasonableness standards. Experts Joe Wolfe and Alyssa James will focus on the Stark Law’s volume or value ...
Mastering the Nuances of Healthcare Valuation Engagements
Valuation is part art and part science, but there is always a risk that some of the art may be lost or not understood. One of the more routine engagements an appraiser or valuation analyst may encounter is to value a practice for a buyout, whether it be due to an expected retirement, death or disability, or a buy-in. Such an engagement can be significantly more complex than appears on the surface. Join Mark Dietrich ...
Benchmarking Medical Practice Performance
In a rapidly changing healthcare industry, the information gleaned from benchmarking financial and operational performance is invaluable. Yet knowing which methods to apply and which data to utilize for the endeavor are only the first challenges of finding accurate and reliable comparisons. In this webinar, Part 7 of BVR's 2013 Online Symposium on Healthcare Valuation, Lori Foley and Tynan Olechny discuss the methods and analysis required for dependable benchmarking of medical practices. From the selection of ...
Demystifying Compensation for Hospital Call Coverage: New Data Sources and Methods for Valuing On-Call Pay
The mystery surrounding hospital call coverage arrangements is largely a result of the confusing tangle of regulatory and market forces that create these measures. Though new resources are emerging to provide an objective source of clarity in assessing these compensation schemes, their use and application can carry a measure of confusion and mystery themselves. In the second installment of BVR's 2014 Online Symposium on Healthcare Valuation, experts Timothy Smith and Gregory Anderson will address the ...
Valuing Hospital-Based Coverage Arrangements
Do you have a deep understanding of the spectrum of hospital-based coverage arrangements? What about the key considerations that drive compensation value? Join experts Schaeffer Smith and Christina Street as they examine the key factors and regulations influencing fair market value for unrestricted call coverage and restricted coverage. Get a full check up on stipends, collection guarantees, and clinical PSAs for hospital clients, and make sure your next healthcare assignment gets a “clean bill of ...
Valuing Clinical Co-Management Arrangements
Perhaps the greatest change to the American healthcare system over the past few decades is the increased use of clinical co-management arrangements by hospitals to help the challenges of increasing competition, changing reimbursement structures, and shifting operational paradigms. As noted in the AHLA/BVR Guide to Healthcare Valuation, these arrangements are so unique and often so new that many valuation techniques are insufficient to assess their value. Join expert appraisers Greg Anderson and Schaeffer Smith to ...
Economic and Regulatory Update in Healthcare Valuations
From sweeping legislative changes and consequent judicial challenges to modifications forced by the economy, the U.S. healthcare system is undergoing dramatic—and surprisingly rapid—changes. For the appraiser working in this, the largest sector of the U.S. economy, these changes signify both opportunity and peril. On January 24, BVR's 2012 Online Symposium on Healthcare Valuation kicks off with Economic and Regulatory Update, a thorough look at the state of an industry in flux, hosted by series curator and ...
Healthcare Valuation Legal Check Up: Top Issues, Cases, and Hot Topics
Regulatory scrutiny of health care arrangements and fair market value is at an all-time high. In this webinar Joe Wolfe will discuss top issues, cases and hot topics in health care valuation from an attorney’s perspective. The webinar will cover key regulatory requirements (Stark, Anti-Kickback, tax exemption), enforcement trends, developing best practices for structuring appraisal engagements and potential pitfalls in reviewing and drafting written FMV opinions. Joe Wolfe will also discuss recent government guidance on ...
Damages for Violating Noncompetes and Other Common Claims Involving Physicians, Hospitals and Healthcare Facilities
Any appraiser who's approached a healthcare assignment can tell you that the specifics and nuances of the healthcare industry only exacerbate common challenges to the valuation process. In Part 10 of BVR's Online Symposium on Healthcare Valuation series, curator Mark Dietrich joins Kevin Yeanoplos for an in-depth examination of one such area: economic damages. Through their presentation, Dietrich and Yeanoplos will discuss new and emerging trends in assessing and examining economic damage claims in the ...
One Year Later: Assessing the Impact of Healthcare Reform on Value
Though known by many other names, the Patient Protection and Affordable Care Act will have a profound effect on the healthcare industry of this country. As its measures begin their implementation, knowing how they will affect the healthcare industry is paramount for appraisers working in this already mercurial industry. Indeed, as Mark Dietrich describes this legislation in the AHLA/BVR Guide to Healthcare Valuation, 2010 edition, reform will most likely mean a shifting of costs among ...
Valuing Rural Healthcare Clinics
Rural health clinics (RHCs) are specially certified entities that were created to increase access to primary care services for patients located in rural communities. Demand for rural health services is expected to increase in the coming years due to the aging baby boomer population and its status as potential acquisition targets by nonprofit healthcare organizations seeking to meet their charitable mission. The number of transactions involving RHCs is expected to increase, creating an opportunity for ...
Power Panel: Healthcare BV and the New Stark Regulations, Part 2
In this second power panel discussion, key thought leaders in healthcare business valuation discuss the ramifications of the recent update to the Stark regulations on business valuation practices. The panel will discuss whether many common ideas and practices need to be either modified or dropped altogether in order to meet the new regulatory definition of fair market value (FMV) under Stark. As part of the discussion, the panel will react and respond to the recent ...
Valuing Urgent Care Centers
As access to healthcare expands, unmet demand and limited supply have led to the rapid growth of urgent care centers. Projected to reach almost 40% by 2017, this growth is expected to come with tighter regulatory control and increased M&A activity as the consolidation of medical services continues. For the appraiser, this leaves many questions relating to reimbursement schemes, insurance coverage, and market comparables, among others. In Part 6 of BVR’s 2014 Online Symposium on ...
Commercial Reasonableness and FMV in Healthcare Valuation
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 ...
Changes in Urgent Care Center Valuation: Are You Keeping Pace?
Is your finger on the pulse of changes happening in urgent care centers? As the buyer landscape changes and observed transaction structures shift, it is critical that you keep your body of knowledge current. Join experts Elliot Jeter and Corey Palasota for this dissection of the ever-evolving urgent care industry. Participants will learn about the current market dynamics, comparable transactions, and recent pricing changes. Jeter and Palasota will also share views of “retail” medicine and ...
Medical Practice Valuation in Divorce
As in any professional practice, valuing a medical practice for purposes of marital dissolution involves many tricky issues, including jurisdictional considerations such as standards of value, premises of value, and valuation dates and universal considerations such as goodwill, and double dipping. Unlike other professional practices, however, medical practices operate in an environment of tight—and quickly changing—regulation, complex reimbursement and payment schemes, and many other intangible considerations. In Part 9 of BVR's 2012 Online Symposium on Healthcare ...
Valuing Ancillary Medical Services for Carve-Out Purposes
As the healthcare market continues its shift toward greater physician practice consolidation, a subtrend has also emerged of ancillary services being bought and sold under a variety of configurations. One such agreement, a so-called "carve-out," sells the ancillary business, leaving the remainder of the practice independent and free-standing. As with any healthcare valuation, the appraisal of ancillary services for carve-out purposes are fraught with peril, including considerations of Stark and AKS compliance, standards of value ...
Critical Issues in the Use and Application of Market Survey Data and the Market Approach in Healthcare Compensation Valuation
As Timothy Smith points out in the BVR/AHLA Guide to Healthcare Industry Compensation and Valuation, the preponderance of compensation data has made market-based approaches to healthcare compensation prevalent. Yet behind the apparent objectivity of these studies lie many nuances and considerations that could greatly affect the conclusion of value if not properly considered. In Critical Issues in the Use and Application of Market Survey Data and the Market Approach in Healthcare Compensation Valuation, Part 6 of ...
Valuing Oncology Centers
Oncology center transactions have become increasingly common as industry reimbursement changes and regulatory pressures grow. The valuation of these centers can prove challenging due to the specialized nature of the oncology industry, and the necessity of ensuring that affiliations and partnerships with outside entities meet the stringent standards of fair market value and commercial reasonableness. Join renowned experts William Hamilton and Tynan Olechny, both of PYA, as they reveal the nuanced considerations essential to valuing ...
The Anti-Kickback Statute and Stark Law: Avoiding the Valuation of Referrals
The stipulations in the federal Anti-Kickback Statue and Stark Law that healthcare providers cannot exchange remuneration in return for referrals of federal healthcare program business has extensive consequences in the world of healthcare valuation. Indeed, as Jim Pinna and Matt Jenkins explain in the BVR/AHLA Guide to Healthcare Valuation, "healthcare providers [must] be careful to avoid ascribing value to prior or anticipated referrals when structuring transactions involving business ventures providing services to beneficiaries of federal ...