Reconciling FMV with Investment Value: What’s Up with the Proposed Redefinition of FMV by Healthcare Regulators?
In October, the Centers for Medicare and Medicaid Services (CMS) released its newly proposed updates to the Stark regulations that included an overhaul of the definition of fair market value (FMV) for regulatory compliance purposes. Surprisingly, CMS pointed to a whole new framework for FMV and valuation practice in general. To help practitioners prepare for the new paradigm, Tim Smith will do a deep dive into the proposed redefinition of FMV and how CMS now ...
January 2020 Hardcover, PDF
Business Valuation Resources, LLC
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.
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 ...
The U.S. healthcare industry is very large, complex, and changing rapidly. This highly regulated industry is also a significant user of valuation services, primarily to support transactions, contracting, and internal strategic planning purposes. The importance of consummating transactions within fair market value cannot be overstated, as the alternative can result in substantial financial consequences to the parties involved. As such, advisors need to know the operational and valuation issues associated with healthcare entities so they ...
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.
With the emergence of value-based reimbursement, such as accountable care organizations (ACOs), clinically integrated networks (CINs), and bundled payment models, which rely on achieving the “Triple Aim” of healthcare at lower cost, U.S. hospitals and other service providers are increasingly looking to change how services are being delivered by seeking more collaborative relationships with physicians. The rise of these emerging healthcare organizations (EHOs) to address value-based reimbursement initiatives has led to a growing number of ...
The median EBITDA margin for an ambulatory surgery center (ASC) is 20%, according to the “2019 ASC Benchmarking Survey” from HealthCare Appraisers Inc.
© 2019 Business Valuation Resources, LLC. All Rights Reserved. July 31, 2019 Webinar Handbook The Devil in the Valuation Details: Top 10 Questions Lawyers and Healthcare Organizations Ask Part of BVR’s Special Series presented by the BVR/AHLA Guide to Healthcare Industry Finance and Valuation Featuring: Denise Palencik, CVA, Veralon Jessica Stack, MBA, Veralon The Devil in the Valuation Details: Top 10 Questions Lawyers and Healthcare Organizations Ask Please note: This Handbook does not qualify for ...
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.
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.
Valuation multiples for controlling interests in ambulatory service centers (ASCs) are increasing, according to the “2019 ASC Valuation Survey” from HealthCare Appraisers Inc.
Compensation survey data do not provide a complete and precise depiction of the physician marketplace for any physician deal. The authors debunk the current “survey says” paradigm and provide the foundation for a completely new standard for the fair market value of physician clinical compensation.
The U.S. healthcare industry is very large, complex, and changing rapidly. This highly regulated industry is also a significant user of valuation services. “Fair market value” opinions are commonly requested in connection with various physician compensation arrangements, and failure to consummate transactions at fair market value can result in substantial financial consequences. As such, healthcare advisors need to know the valuation and compliance issues associated with various physician compensation arrangements so they can drive value ...
Regulatory as well as financial concerns are driving the need to address the issue of health systems losing money on acquired physician practices.
Rising interest rates have not affected the market for seniors housing and care assets and demand remains extremely high across all quality and property types, according to new acquisition data from Irving Levin Associates (Norwalk, Conn.).
Alternative care access points—retail clinics, urgent care centers, freestanding emergency departments, and micro hospitals—have proliferated. In many cases, these programs are thriving in a consumer-focused, value‐based healthcare environment. Hospitals and health systems are recognizing the potential value of developing and integrating these alternative care sites. In addition to supporting population health management, these access points can be profitable and can provide a relatively low‐cost approach to new patient acquisition and the potential for downstream revenue.
The latest article in a series that examines the valuation of dialysis centers focuses on the technological environment in which these enterprises operate.
An analysis of regional differences in physician compensation coupled with the general tendency against long-distance relocation shows there is no national market for established physicians. Rather, local market conditions must be considered in setting fair market value.
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.
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 ...
February 2019 Hardcover, PDF
Business Valuation Resources, LLC
A recent survey reveals some of the financial issues that valuation experts should examine when doing projections.
Over the past few years, the IRS has become a treasure trove of financial information regarding nonprofit healthcare organizations.
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.