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Master of Science, Healthcare Administration. Certified Healthcare Business Consultant. Certified Business Appraiser. Certified Valuation Analyst.
Showing posts with label goodwill value. Show all posts
Showing posts with label goodwill value. Show all posts

Thursday, April 21, 2011

Selling Medical & Interventional Pain Practice

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Excellent opportunity to acquire an interventional and medical pain practice in the Northeast. This is a solo practice generating annual collections of ~1,100,000. Great work/life balance with 100% outpatient based patient care. Service mix is currently 80% medical pain and 20% interventional pain but there is a great deal of expansion opportunity given the underserved patient need for interventional pain procedures in the area. The office is situated in large medical building with ample exam rooms and offices; additional room is available for expanding the procedure room into a surgery center. C-arm and other equipment already in place. This practice is the largest pain management practice in the region. A second medical provider and additional extenders could be added to accommodate patient volume. Currently the most common procedures performed are steroid injections. Selling doctor will assist new buyer with transition period. Financing is available to qualified buyer





Also visit new listings for medical practice appraisal services and optometry practice sales listings.

Monday, January 18, 2010

The problem with "Rules of Thumb" in Valuation and Asking Price Determination of Healthcare Professional Practices

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The business valuation of healthcare professional practices is a widely discussed and contentiously debated topic among business appraisers, healthcare business consultants, accountants, brokers, lenders, buyers, sellers, and various other involved parties. This is attributable to a combination of competing interests and general confusion when it comes to valuation and asking price determination. This phenomenon is not uncommon in a field where seemingly innumerable variables exist in wholly different practice settings which can render even the best approach to valuation ineffective. With the inherent difficulty in accurately assessing the value of a healthcare practice and determining an appropriate price point which reflects market reality, the use of a "rule of thumb" as a substitute for due diligence can be severely problematic. Using an easily applied method in the absence of comprehensive data and analysis comes from the desire to simplify and compartmentalize complex ideas into bite-sized pieces. Rules of thumb are commonly seen as generalized ratios of earnings, price, overhead, financials data, or other key practice statistics. While potentially accurate over a large swath of aggregate data, the low volume nature of comparable healthcare practice transactions makes these rules of questionable effectiveness. In the hands of unknowlegable parties, they can be highly inaccurate and especially problematic when misapplied across different health fields (Valuing an optometry practice with a ratio used for medical practices is a common such example). No ratios or rules can encompass the intricacies of multiple healthcare disciplines, specialties, market factors, geographic locations, valuation purposes, size/scope of potential buyer pools, economies of scale, or purchase price allocation. With the difficulty in accurately and rapidly determining practice value, it is understandable that buyers and sellers of practices can become frustrated and overwhelmed in the process. This can be resolved by hiring a professional who is aware of current trends and can assess a practice for the party's given purpose. This is the most crucial aspect to obtaining an accurate and relevant valuation that can be actually utilized to achieve a specific objective (business move, retirement, lifestyle change, divorce, etc....). Appraising a practice "in theory" without considering the moderating effets of true market dynamics is a waste of time.

Tuesday, November 17, 2009

SBA Loans for Electronic Health Records systems

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Senator John Kerry has proposed a bill that would allow physicians to obtain SBA loans for the acquisition of electronic health record systems and other computer technology to modernize their practice. This is a welcome relief to physicians who are worried about the high costs involved in acquiring, implementing, and maintaining such systems. Investing in electronic health records will be required in order for physicians to qualify for some government incentives and comply with upcoming mandates. It is encouraging to see that there is a push to make SBA loans more accessible to physician practices, especially in light of a puzzling move by the SBA last year to place a cap on goodwill for acquisitions. The goodwill cap has since been revised and it has still been possible to obtain amounts in excess of the limit through an individual review process, but the thought of such a limit being implemented is still disconcerting.