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The Importance of Appraisal Review in the Transaction Process

August 30, 2017 HealthCare Appraisers

An often overlooked or disregarded aspect of the appraisal process is appraisal review.  The American Society of Appraisers, which awards the Accredited Senior Appraiser (“ASA”) designation for disciplines such as Business Valuation and Machinery and Technical Specialties, holds those with the ASA designation to a certain set of professional [...]

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Valuing Electronic Health Record System (“EHR”) Donation Arrangements

November 29, 2016 HealthCare Appraisers

On October 10, 2006, the Centers for Medicare and Medicaid Services (CMS) implemented exceptions to the Stark and Anti-Kickback rules which preclude EHR donations under the Medicare Modernization Act of 2003. These exceptions allow health entities to subsidize or donate EHRs to independent practices without violating the federal Anti-Kickback [...]

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Business Transactions: What does the appraised value mean?

September 21, 2016 HealthCare Appraisers

Business appraisers are frequently engaged by buyers and sellers to value healthcare business entities, such as physician practices, ambulatory surgery centers and ambulatory care facilities, to ensure a buy-sell transaction complies with the fair market value standard.  Buyers and sellers, however, are not often aware of how specific deal [...]

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Unlocking Value Through Licensing Arrangements

September 21, 2016 HealthCare Appraisers

Valuing Licensing Arrangements

As the costs associated with bringing a product to market continue to increase, medical device and pharmaceutical companies are considering a variety of options ranging from costly mergers and acquisitions that require relatively long timeframes for completion, to licensing arrangements that can be accomplished [...]

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Continued Breakdown Of Collections Guarantee & Subsidy Arrangements

September 15, 2016 HealthCare Appraisers

As mentioned in our previous article, in cases where the hospital-based physicians are not employed, hospitals frequently find the need to provide financial support through Collections Guarantees and Subsidy Arrangements to certain of its exclusive provider groups as the costs of providing the necessary services may exceed the collections [...]

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Valuing Physician Practices

September 14, 2016 HealthCare Appraisers

The valuation of a physician practice is one of the most difficult tasks faced by business appraisers. With significant regulatory restrictions, lack of definitive direction for the application of standard valuation theory, and widely differing opinions of valuation “experts,” physician groups and health systems are left wondering what (or [...]

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