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BVU News and Trends July 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.

Book Review: The BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements, 2nd Edition

The second edition of this book expands upon the groundbreaking first edition and provides 1,400 pages of content written by 42 experts in the field, including attorneys and valuation experts.

BVU News and Trends June 2018

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

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.

Tips on choosing the best valuation approach when valuing home healthcare businesses

As with other industries, a unique set of variables drive the profitability and risks associated with home healthcare service lines, making it difficult to make global assumptions. Appraisers need to develop an understanding of each home healthcare service line and how they interact if the subject business operates in two service lines or more. Appraisers also need to choose the best valuation approach for the unique service line they are valuing. Here are a few tips on each of the approaches.

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.

Hospice Valuation: Trends, Value Drivers, and Physician Compensation

Hospice has become a primary focus for buyers looking for stable reimbursement and good margins in the healthcare industry. What do hospice providers do? And why are the multiples for these companies so high? Join Darcy Devine and William Hamilton for an examination of the business model behind many hospice companies, as well as the risks and opportunities that investors face in this arena. Learn about the fair market value and commercial reasonableness issues related ...

No takers yet for Dietrich and Smith debate challenge

A few issues ago, we relayed the message that healthcare valuation experts Mark Dietrich and Tim Smith have offered to debate anyone who disagrees with their views on the fair market value of physician compensation.

Letter to the Editor: Comments on a Recent Article on the FMV of Physician Compensation

A letter in response to the article, “Dietrich and Smith’s Debate Challenge Re: FMV of Physician Pay,” that appeared in the March 2018 issue of Business Valuation Update that presents new thinking and approaches.

Dietrich and Smith’s Debate Challenge Re: FMV of Physician Pay

Mark Dietrich and Tim Smith will debate anyone who disagrees with their views on the fair market value of physician compensation, views that refute conventional wisdom. BVR will provide a forum for the debate.

Survey says? Alternative approach to the fair market value of physician compensation

For well over a decade, the use of physician compensation surveys has been the predominant paradigm for establishing the fair market value of physician compensation. In two recent BVR webinars on the fair market value of physician compensation, healthcare valuation experts Mark Dietrich and Timothy Smith refute conventional wisdom regarding the compensation hospitals pay to employ physicians and offer an alternative approach to determine fair market value.

Takeaways From the AICPA FVS Conference

We attended many of the sessions at the AICPA’s 2017 Forensic and Valuation Services conference in Las Vegas along with over 1,000 attendees and found no shortage of tips, ideas, and advice.

Valuation benchmarks for ambulatory surgery centers revealed in updated survey

HealthCare Appraisers Inc. has just released valuation multiples of single-specialty and multispecialty ASCs based on data representing over 700 entities.

Latest AHLA guide discusses fairness opinions, M&A, and goodwill

The AHLA Transactions Resource Guide is a free collection of articles from leading healthcare experts that discuss significant transaction issues in the healthcare industry. Some of the authors are with Duff & Phelps, VMG Health, Wipfli, and others.

Healthcare services multiples from Duff & Phelps

Valuation data from the January 2017 Healthcare Services Sector Update from Duff & Phelps.

Healthcare M&A volume up, spending down in 2016

There were 1,536 healthcare M&A transactions in 2016, up 1% from 2015, but overall spending dropped to $255.7 billion from $400.3 billion in 2015, according to data from Irving Levin Associates Inc.

Commercial Reasonableness: Defining Practical Concepts and Determining Compliance in Healthcare Transactions for Physician Services

Financial relationships between hospitals and physicians must be both commercially reasonable and at fair market value (FMV) to meet certain regulatory requirements. Ensuring compliance with these requirements is critical--failing to do so could invoke sanctions and penalties related to the Stark Law, the Anti-Kickback Statute, the False Claims Act (FCA), and Internal Revenue Service 501(c)(3) status for tax-exempt entities. As such, a thorough understanding of these requirements is necessary to ensure compliance in transactions between hospitals and physicians, as well as other parties with referral relationships within the healthcare environment.

Healthcare industry hit most by FCA in 2016

Over half of the $4.7 billion in settlements and judgments the government recovered in 2016 under the False Claims Act (FCA) were from the healthcare industry. Allegations often revolve around the measurement of the fair market value of physician compensation.

Will an ACA overhaul derail value-based payments?

Healthcare reform has been moving the industry away from the traditional fee-for-service revenue model in favor of one where revenue is based on the quality of care. Will the ACA repeal-and-replace efforts under the new Trump administration put the brakes on this? A healthcare valuation expert comments.

AICPA honors healthcare expert Mark O. Dietrich

Healthcare valuation expert Mark O. Dietrich, CPA/ABV, has been honored for his career contributions to the profession at the AICPA 2016 Healthcare Industry Conference in Nashville.

Healthcare settlement points up HIPAA trap to avoid

Healthcare law has been expanded to impose privacy rules on a healthcare entity’s “business associates,” which can include appraisers.

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