BVR's Guide to Physician Practice Valuation, Third Edition is the essential resource for understanding the complexities inherent in physician practice valuation, whether for sale to a hospital, private equity firm, or to another physician. Edited by renowned healthcare valuation thought leader Mark Dietrich, CPA/ABV.

What is a medical practice worth? The answer depends, in part, on whom you ask. Purchasers would say value is based on what they plan to bring to the table; sellers assume it's simply a matter of formula applied uniformly across the board. In actuality, both are correct—to a degree. While there are basic guidelines used to ascertain values, valuation must be determined on a case-by-case basis, as each has a unique set of circumstances that ultimately affects final outcome. Covering the specific issues that impact valuation, Valuation of a Medical Practice takes you through the entire process, highlighting pitfalls and mistakes that are commonly made and that should be avoided. Written by Reed Tinsley, Rhonda Sides, and Gregory D. Anderson, leading experts in the field, this comprehensive resource clears up the ambiguous question of what exactly constitutes the value of a medical practice. As the authors stress, there are two main points to keep in mind: The strength of the practice's income stream and what it produces for the owner(s) is what creates true value. The key to a successful valuation is deciding whether or not the practice's future income stream will mirror its present income stream. Along with case examples, sample valuation letters, and checklists for gathering data, as well as an exhaustive appendix and glossary of terms, Valuation of a Medical Practice has complete details on: Regulatory issues—Medicare fraud and abuse, private benefit/private inurement, the Stark Law. Special issues—gross revenues, referral patterns, payer mix, practice efficiencies and transition, productivity. Getting started—engagement preplanning and planning, requesting pertinent data. On-site inspection and owner interview—fixed assets, personnel, accounting system, supply inventory, marketing, physician and management issues. Completing the process—reporting, reviews, reconciling valuation methods, applying premiums and discounts, obtaining client representations. Straightforward, accessible, and exhaustive, this is an important resource for anyone involved in the valuation of a medical practice. When it comes to valuing a medical practice, the parties involved often disagree on how it should be best assessed. Written by leading authorities in the field, this comprehensive resource clears up any confusion by examining and explaining the key issues involved in the valuation process, as well as common pitfalls and mistakes that should be avoided. Packed with sample valuation engagement letters, checklists for gathering data, and helpful case studies, Valuation of a Medical Practice covers all the essential bases, from regulatory issues and operating costs to capitalization and fixed assets—in short, everything needed for an accurate valuation.

How to develop and support a credible opinion of value based on a foundational framework This book provides knowledge and guidance to valuation practitioners on achieving a new level of professionalism and credibility, as well as to those stakeholders in the valuation process in need of assessing the credibility of an appraiser's work product for decision-making purposes. It introduces a well defined framework of key credibility concepts and procedures at each step of the appraisal process, including reasonableness tests, valuation methodologies, financial analysis, economic and industry analysis, engagement planning, and informed judgment. Provides needed guidance to valuation practitioners to enhance their valuation practice and improve the credibility of the appraiser's work product Offers guidance to stakeholders in the valuation process in need of assessing the credibility of an appraiser's work product for decision-making purposes Get foundational framework appraisal advice with the proven guidance found in Determination of Value.

BVR's Guide to Physician Practice Valuation is the essential resource for understanding the complexities inherent in physician practice valuation, whether for sale to a hospital, private equity firm, or to another physician. Edited by renowned healthcare valuation thought leader Mark Dietrich, CPA/ABV, the Guide provides healthcare administrators, appraisers, and attorneys with current and comprehensive ""how-to"" guidance on valuation approaches. In the second edition, Dietrich and other top healthcare appraisal experts including James Pinna, Todd Sorensen, James Lloyd and Greg Anderson further explore the not-so-subtle nuances of unique issues like coding analysis, ancillary technical component revenue, ""incident to"" billing for mid-level providers, accounts receivable and aging, benchmarking, and normalization of expenses. Plus, they discuss how the Anti-Kickback Statute and Stark Law continue to impact valuation. "The consensus today, including that of many of the contributors to this Guide, is that future physician compensation is typically a more significant element of a transaction than is the value of the practice." Mark Dietrich, Editor of BVR's Guide to Physician Practice Valuation The second edition features several updates and new chapters, including: - Assessing Intangible Value in a Physician Practice Acquisition - A Sample Valuation Report Table of Contents for Physician Practices Valuation Solutions for Special Situations with Medical Practices - Section I: Practice Buy-Ins, Buy-Outs, and Mergers - Section II: Other Special Circumstances - Noncompetes, Divorce - Bradford Regional Medical Center: Lessons for the Inexperienced - Identifying and Measuring Personal Goodwill in a Professional Practice: Basic Concepts and Using the Single Period Capitalization Model - Why Transactions Structure Affects Value and Other Nuances of Valuing Medical Practices - What Goes Around Comes Around: Derby v. Commissioner - Lost Profits for Physician Practices Practical guidance coupled with adherence to professional and regulatory standards define the Guide to Physician Practice Valuation.