BVR Guide to Ancillary Healthcare Services Valuation

December 2016 Hardcover, PDF (474 pages)

Mark Dietrich

Business Valuation Resources, LLC

The landscape of the healthcare industry is constantly evolving and changing. 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. Focused specifically on ancillary healthcare services, this desktop reference provides in-depth analysis of the healthcare market and how the market share of insurers and relative negotiating strength of ancillary service providers affects value. With a focus on finance and expanded examples of cash flow forecasting anomalies in the industry, as well as methods to value ancillary healthcare services specifically, readers will have the latest research to conduct a thorough and bulletproof valuation in this industry.

Please note: To meet the needs of executives and practitioners interested exclusively in the valuation of ancillary healthcare entities, all content focused on the unique aspects of these types of healthcare services from the BVR/AHLA Guide to Healthcare Industry Finance and Valuation is republished in the BVR Guide to Ancillary Healthcare Valuation Services.

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Highlights of the guide include:

  • Conduct a thorough and bulletproof valuation with guidance on the latest research and innovative valuation methodologies from 15 top healthcare valuation experts on complex topics in healthcare ancillary services valuation, including urgent care centers, dialysis clinics, pathology services, and more!

  • Have the most current information on how regulations and the government’s crackdown on healthcare transactions are shaping valuations in the ever-changing industry--knowledge that is critical to a defensible valuation conclusion

  • Get an in-depth review of valuation and tax exempt organizations in the healthcare industry with a discussion on the Stark law and regulations’ volume or value of referrals prohibition

  • Grasp a new way to look at the value assigned to patient medical records, including:
    • Knowledge of the law
    • How to identify circumstances in which valuation analysts and experts become subject to HIPAA’s privacy and security rules
    • How HIPAA, state law, contract law and technology in the form of electronic health records have combined to end the appropriateness of conventional application of the cost approach to value medical records
  • Learn the mechanics of valuing common forms of clinical integration arrangement between physicians and hospitals


  • Chapter 1. Healthcare Market Structure and Its Implication for Valuation of Privately Held Provider Entities—An Empirical Analysis
  • Chapter 2. Factors in Estimating Cost of Capital and Forecasting Cash Flow in Healthcare


  • Chapter 3. The Anti-Kickback Statute and Stark Law: Avoiding Valuation of Referrals
  • Chapter 4. The Volume or Value Standard: Navigating the Stark Law’s Prohibition on ‘Taking Into Account’ Designated Health Service Referrals
  • Chapter 5. The Imperative to Meeting the Stark Group Practice Definition
  • Chapter 6. Valuation Issues Affecting Tax-Exempt Healthcare Entities
  • Chapter 7. Patient Medical Records, HIPAA, and State Medical Records Law in Valuation and Litigation
  • Chapter 8. By the Numbers: A Case-Based Understanding of Healthcare Valuation Fraud
  • Chapter 9. Bradford Regional Medical Center: Lessons for the Inexperienced
  • Chapter 10. Converting Physician Practices to Tax-Exempt Status
  • Chapter 11. What Goes Around Comes Around: Derby v. Commissioner
  • Chapter 12. What Is to Be Learned From Caracci?


  • Chapter 13. Understanding and Using the Technical and Professional Components of Ancillary Revenue When Valuing Medical Practices
  • Chapter 14. Valuation Considerations Specific to Diagnostic Imaging Entities
  • Chapter 15. Ambulatory Surgery Centers
  • Chapter 16. Valuing Dialysis Clinics: Reasons for Valuation
  • Chapter 17. The Valuation of Pathology Services
  • Chapter 18. The Valuation of Hospital
  • Chapter 19. Home Healthcare Services
  • Chapter 20. Valuing Joint Ventures and Other Physician Alignment Initiatives
  • Chapter 21. Urgent Care Centers: Valuation Overview
  • Chapter 22. Valuing CINs, ACOs, PHOs, and IPAs