Since 1995, VMG Health has provided expert advice related to valuation, strategy and compliance to both non-profit and for-profit hospitals, as well as every type of healthcare facility and ancillary service provider. Understanding healthcare organizations, and the regulatory environment they function within is essential when implementing any strategy whether it be an acquisition or new physician alignment model.

If your organization is looking at integration, consolidation, strategic partnerships, or assessing innovative value-based payment arrangements, VMG Health has the experience and in-depth knowledge to inform and guide your decisions. VMG Health stays current on the latest market trends, regulatory nuances, and their financial implications, so you can be confident that your transaction strategy and valuations are fully compliant and up-to-date.

Following the passage of the Affordable Care Act Health in 2010, the U.S. Healthcare market was thrust in a period of uncertainty and transformational change in an attempt to fundamentally alter the way in which health care is delivered and reimbursed. Physicians are central to these change efforts, and with volatile reimbursement from government and commercial payors, new and evolving payment models, heighted compliance costs, and significant administrative burdens, many physicians are leaving private practice or considering other strategic alternatives.

For more than two decades, VMG Health has provided expert valuation and transaction advisory to medical groups across the country. We have extensive experience working with physician organizations and their strategic partners to evaluate alignment models and platforms including:

1. Accountable Care Organizations
2. Clinically Integrated Networks
3. Independent Practice Associations
4. Management Service Organizations
5. Single and Multi-Specialty Strategic Positioning
6. Innovative Compensation Models

VMG Health stays abreast of healthcare’s changing regulatory and compliance framework. From Stark and Anti-Kickback issues to Commercial Reasonableness we provide a long-term perspective on healthcare’s regulatory environment, with a deep understanding of the impact on transactions and strategy.

VMG Health has provided trusted, expert valuation and transaction advisory guidance to both healthcare attorneys and legal advisors, and their potential business partners. In addition to providing healthcare focused expert services for dispute resolution purposes, VMG Health has extensive expertise with fair market value opinions and coding compliance.

Whether you are a regulatory attorney in need of a comprehensive Fair Market Value analysis to determine if your transaction or compensation arrangement is fully compliant and up-to-date, or you are a litigator involved in a high-stakes dispute centered on healthcare valuation issues, VMG Health brings to the table an intensive and exclusive perspective on the healthcare industry.

The healthcare industry is an incredibly complex web of patients, providers and payers. The industry is also highly regulated and fraught with compliance risks that can materially impact financial viability. Within this complex landscape it can be challenging to decipher winning business strategies from those that are flawed and accurately develop financial forecasts to assess macro and micro healthcare investment risk factors.

Whether contemplating an investment in an operating entity or underlying real property, it is imperative for financial investors to gain a thorough understanding of their targets. Investors in the private equity space are confronted with a myriad of healthcare investment options and must often reach a “go” or “no-go” decision within a rapid time frame and with limited opportunity for due diligence. VMG Health is experienced in navigating such processes and assisting our clients in making informed healthcare private equity investment decisions.

It is not uncommon for an entire team to be part of an organization’s healthcare strategy. This team includes representatives from finance, human resources, strategy, legal and now the industry is experiencing a growing presence of outside consultants. Many specialty consultancy firms have emerged with the continued focus on niche expertise within all the healthcare sectors. These firms are often integral to putting together some of the more innovative and progressive models in the healthcare market.

VMG Health has been an integral part of strategic teams put together by consultants and advisors for decades. Whether we are brought in to provide Financial Due Diligence on a target, a fair market value opinion for a new transaction, or asked to perform a revenue integrity assessment as part of a new partnership, VMG Health provides valuable insight and expertise to the strategy team.

The primary goal of every seller is to maximize the value received for their business, accelerate the timeline to close, and enhance the certainty that the sale will occur. VMG Health plays a proactive role throughout the sales process by identifying and resolving all potential obstacles and ensuring a successful outcome is achieved.

VMG Health partners with investment bankers, deal advisors and clients providing guidance and support to potential sellers and their investment banker to assist with the sale of their business. Our transaction advisory professionals have helped many sellers and advisors’ close numerous transactions and can provide a single source solution of services to help maximize value and speed to close. Our service offerings include, but are not limited to:

• Commercial due diligence / strategic advisory services
• Pre LOI diligence
• LOI agreement advisory services
• Managing the transaction process / coordination dataroom
• Financial and tax due diligence
• Tax structuring
• Financial pro forma modeling and valuation services
• Carve out / divestiture analysis
• Coding and compliance diligence
• Valuation studies / purchase accounting and open balance sheet analysis
• Purchase agreement advisory services
• Transaction negotiations / structuring deal terms and conditions
• Synergy analysis and operational optimization services
• Post integration services

At VMG Health, our dedicated team of professionals have decades of diligence experience and are here to assist. No transaction is too big or too small for our team. Let us be your trusted advisor and ensure the successful sale of your business.

Whether contemplating the financing of a de novo venture, the expansion of an existing business, the refinance of existing liabilities, or the acquisition of real or personal property, it is imperative for lenders and other financial investors to gain a thorough understanding of the recipient of their capital.

At VMG, our team of experienced valuation and transaction advisory professionals bring in-depth financial visibility to your healthcare lending decisions. VMG Health offers many services, products and other solutions focused specifically on delivering insight to lenders and other investors. Such services include, but are not limited to:

• Financial & operational feasibility analyses
• Quality of Earnings & Quality of Revenue
• Transaction advisory or consulting
• Lender appraisals for businesses, real estate and capital assets

At VMG Health, we urge you to leverage the expertise that more than two decades of experience has provided and gain clarity and confidence in your lending decisions.

Real estate strategies in healthcare continue to grow at a rapid pace. VMG Health has experience with both privately held and publicly traded real estate investment trusts focused in the healthcare industry. Services we provide associated with REITS are varied, and include everything from allocation of purchase price to fair market rent studies on challenging tenant negotiations.

Our expertise can extend well beyond traditional real estate appraisal experience as our financial advisors can provide specific operational knowledge related to high acuity tenants, as well as the credit-worthiness associated with any type of income-producing real estate in the healthcare space. Allow our in-depth expertise to provide your team insight and support for any strategy associated with your real estate goals.