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BVU News and Trends October 2019

A monthly roundup of key developments of interest to business valuation experts.

The Due Diligence Imperative in the Era of Value-Based Reimbursement

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 ...

ASC benchmarking study released

The median EBITDA margin for an ambulatory surgery center (ASC) is 20%, according to the “2019 ASC Benchmarking Survey” from HealthCare Appraisers Inc.

New edition of ASC valuation survey released

Valuation multiples for controlling interests in ambulatory service centers (ASCs) are increasing, according to the “2019 ASC Valuation Survey” from HealthCare Appraisers Inc.

How the Healthcare Industry Misuses and Abuses Survey Data

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.

Series of articles examines physician practice losses

Regulatory as well as financial concerns are driving the need to address the issue of health systems losing money on acquired physician practices.

Senior healthcare M&A soars

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.).

Technology impacts valuations of dialysis centers

The latest article in a series that examines the valuation of dialysis centers focuses on the technological environment in which these enterprises operate.

Hospital financial challenges make projections tricky

A recent survey reveals some of the financial issues that valuation experts should examine when doing projections.

Take a fresh look at IRS data on healthcare organizations

Over the past few years, the IRS has become a treasure trove of financial information regarding nonprofit healthcare organizations.

BVU News and Trends February 2019

A monthly roundup of key developments of interest to business valuation experts.

BVU News and Trends January 2019

A monthly roundup of key developments of interest to business valuation experts.

Alternative payment models in healthcare

A significant impact on the revenue picture for healthcare providers is coming from alternative payment models, such as value-based payments and bundled payments.

Home health and hospice M&A activity soars

For three quarters in a row, there have been at least 20 publicly announced acquisitions of home health or hospice companies, a much higher quarterly volume than during most of 2017, according to new data from HealthCareMandA.com (Irving Levin Associates).

Industry Snapshot: Home Hospice Firms

An at-a-glance overview of the valuation nuances of home hospices firms, based on a webinar presented by Darcy Devine and William Hamilton, who are both with Buckhead FMV.

D&P: Latest multiples in healthcare services

The S&P Healthcare Services Index increased 6.3% over the last month, outperforming the S&P 500, which increased 3.0% over the same period, according to the “August 2018 Healthcare Services Sector Update” from Duff & Phelps.

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.

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.

BVU News and Trends August 2018

A monthly roundup of key developments of interest to business valuation experts.

Groundbreaking study debunks use of surveys for FMV of physician compensation

An article in an upcoming issue of hfm Magazine presents groundbreaking research and data analytics that challenge commonly held beliefs about survey data, physician compensation, and fair market value.

Special situations affecting home healthcare value

Healthcare is arguably the most highly regulated industry in the country. For any healthcare valuation, appraisers should have a reasonable understanding of regulations affecting healthcare providers and nonprofit organizations and a grasp of the current changes that Congress and state legislatures may enact. Excerpted from the Guide to Ancillary Healthcare Services Valuation, here are some special considerations to take into account when valuing home healthcare businesses.

Update on the hospice market and valuations

The hospice market is fragmented with many small independent players that are not associated with health systems, say speakers on a recent BVR webinar.

Valuation benchmarks for ASCs

HealthCare Appraisers Inc. has interviewed ambulatory surgery centers(ASCs) to determine trends in the value and characteristics of ASC ownership interests.

BVU News and Trends May 2018

A monthly roundup of key developments of interest to business valuation experts.

D&P updates multiples in healthcare services

The S&P Healthcare Services Index declined 1.9% over the last month, but outperformed the S&P 500, which declined 2.7% over the same period, according to the March 2018 Healthcare Services Sector Update from Duff & Phelps.

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