Business and Ownership Interest Valuation Services Solutions

For-profit and non-profit hospitals, health systems, physician groups, specialty practices, ancillary services businesses, payers, managed care companies, and other healthcare organizations are facing transformational structural changes as the industry shifts from a volume-based model to a value-based paradigm. 

In order to survive and compete in this new paradigm, market participants are entering into a wide variety of integration strategies to maintain/grow market share, achieve economies of scale, prepare for payment reform, cut costs, and increase quality.  These strategies include mergers, sales, acquisitions, joint ventures, joint operating agreements, membership substitution, and other transaction structures that require well-supported, rigorous business and ownership interest valuations.

Navigant professionals have experience working with every segment of the provider and payer spectrum, including:

Providers

  • Acute Care Hospitals and Health Systems   
  • Long-Term Acute Care Hospitals      
  • Post-Acute and Rehabilitation Hospitals        
  • Primary Care Physician Practices    
  • Single and Multispecialty Physician Practices          
  • Ambulatory Surgery Centers 
  • Diagnostic Imaging Centers  
  • Psychiatric Hospitals and Behavioral Health 
  • Radiation and Medical Oncology Treatment 
  • Neurosurgery 
  • Assisted Living Centers         
  • Nursing Homes          
  • Dialysis Clinics           
  • Fertility Clinics
  • Hospice Companies  
  • Clinical and Anatomic Laboratories   
  • Physical Therapy       
  • Sleep Centers and Labs        

Payers/Managed Care and Other

  • Commercial Health Insurance Companies
  • Provider-Based Medicare and Medicaid Health Plans
  • Non-Provider Based Medicare and Medicaid Health Plans
  • Health Maintenance Organizations (HMO)
  • Preferred Provider Organizations (PPO)
  • Third Party Administrators
  • Practice Management Companies
  • Management Service Organizations
  • Healthcare Technology and Software

In addition, we have experience valuing support entities including practice management companies, management service organizations, and healthcare technology companies.

Navigant’s valuation experts have many years of healthcare industry experience and are attuned to legal and regulatory issues affecting valuations in the healthcare industry, including:

  • Medicare and Medicaid “fraud and abuse” laws (Anti-Kickback Statute)
  • Physician Self-Referral (“Stark”) Regulations
  • Internal Revenue Code 501(c)(3) for tax exempt organizations (private inurement and private benefit restrictions)
  • State Attorney General review processes and mandates
  • Commercial Reasonableness
  • State Certificate of Need (CON) laws
  • Office of Inspector General (OIG) Advisory Opinions

In order to ensure clients receive the highest level of expertise, we often draw upon the deep industry experience of our healthcare consulting practice professionals within our firm. This integrated team approach provides clients with supportable and defensible valuation opinions that are unmatched. 

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