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Valuation of Professional Services Arrangements (PSA)

April 06, 2017 HealthCare Appraisers

As the hospital/physician landscape continues to evolve, both parties are continually looking for ways to improve their alignment opportunities. The gals of such improved alignment are often focused on better clinical outcomes and improved financial integration.  One area that is gaining increased traction is the professional services [...]


Beware of Stark Law ‘self-dealing’ In Skilled Nursing

March 24, 2017 Barbara Landy

Nursing facility administrators should seek legal and valuation assistance to assure compliance

Skilled nursing facilities that pay physicians for medical director services may be at risk for violating Section 1877 of the Social Security Act; generally referred to as the “Stark Law.” Hospitals and other healthcare entities, as well as [...]


Raising the ASC Value Ceiling Through Real Estate

December 16, 2016 Jeff Piehl

The real estate component of ambulatory surgical centers (ASCs) has long been a back seat driver when performing ASC valuations. With strong capital markets having turned healthcare real estate investing from a niche market to mainstream investment platform, real estate for ASCs has begun to take a more visible front seat location when it comes [...]


Buying and Selling Physician Practices

September 14, 2016 HealthCare Appraisers

There are two types of physician practices that are generally subject to “sale” in today’s marketplace.  The first of these are solo practices which are generally made available for sale upon the planned retirement of the physician.  For purposes of this discussion, solo practices are also defined to include practices of two to three [...]


Valuation of Physician-Owned Hospitals

September 20, 2013 Nicholas Janiga

The Patient Protection and Affordable Care Act (“PPACA”) of 2010 significantly impacted both existing and developing physician-owned hospitals.  Section 6001 of PPACA amended Section 1877 of the Social Security Act (“Limitation on Certain Physician Referrals”) to preclude a referring physician from having an ownership or investment interest in [...]


Valuation of Physician Consultant Arrangements: Ensuring Compliance within the Pharmaceutical Industry

January 22, 2008 Ann Brandt


As costs associated with developing new drugs rise into the stratosphere, pharmaceutical companies find themselves increasingly dependent on their marketing organizations to expand market share.  The use of direct to consumer advertising has proven to be an extremely profitable approach, resulting in increasing numbers of consumers [...]

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