Healthcare Valuation Services

Our specialists provide valuations of medical practices and facilities, contractual agreements, equity interests, real estate, and equipment.

Healthcare Valuation is a Specialty – We Know

We pride ourselves on our ability to demonstrate a complete understanding of your needs and financial considerations. Our professionals use a problem-solving approach that recognizes valuation is part of a broader decision-making process, which in turn, requires an appreciation of the context in which advice is sought and an ability to foresee client needs and issues.

Healthcare industry companies require valuations of enterprises, equity interests, real estate, equipment and intangible assets including physician services agreements for a wide variety of transactions and compliance purposes. Clients served by our team include:

Drawing upon the full range of our valuation and industry expertise, we consider multiple valuation methodologies to analyze each situation. When necessary, our analyses comply with our understanding of Stark and Anti-Kickback statutes, IRS regulations, FASB, IPEV, SEC and other standards.

Management Service Agreements (MSA)

It is a common business practice for healthcare providers to enter into a Management Services Agreement (MSA) with a Management Service Organization (MSO) whereby the MSO provides accounting, bookkeeping, billing, collection, and management information systems to the healthcare providers.

Establishing a safe, compliant, profitable, and effective MSO includes the requirement to demonstrate that the MSA represents a fair market value agreement. Marshall & Stevens’ Healthcare valuation professionals have the skills, expertise, and industry knowledge to provide the required valuation and documentation.

To discuss these or other matters with our Healthcare Valuation professionals, please contact one of the specialists listed below and see our recent success stories.

How Marshall & Stevens can help with Healthcare Valuation Services

Our Business Valuation team collaborates with our internal multi-disciplinary professionals to provide the value analyses and fresh independent opinions to fiduciaries, financing sources and investors for public and private company transactions.

Business Valuation

Whether for purchase, sale, investment, gifting, recapitalization, or equity/option grants, establishing an understanding of value is crucial for decision makers.

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Estate and Gift Tax

Our in-house valuation, consulting, and litigation professionals are engaged to assist with wealth preservation, tax reporting, and matters of dispute. The specialists at Marshall & Stevens provide independent opinions..

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Portfolio Valuations

General partners and investors engage us to provide independent valuations opinions for financial reporting requirements (FASB and IFRS) as well as investor or lender reporting. Our team of professionals includes...

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Frequently Asked Questions

  • The accelerated depreciation benefits (tax savings) from a cost segregation analysis on acquired real estate (sometimes just tenant improvements) can typically pay for a material percentage of the transaction costs and/or multiple financing payments.

  • Financial reporting compliance requires a determination of fair lease rate.

    A large percentage of transactions include lease agreements that are not at current fair market value. This is more often the case when the owner of the business is also the owner of the real estate.

    In the acquisition of a medical practice, for instance, the acquiror must not pay a higher than market rate to acquire or lease the property from the seller.

  • Each audit firm has their preference for the way certain financial instruments should be valued. We initiate a call with the audit team before performing the analyses to reduce the potential for delays and surprises.

  • We review financial projections against past performance, comparable company performance, and industry forecasts. We ask for support from our clients, as necessary, to make us comfortable with their projections and to provide an explanation in our valuation report.

The Marshall & Stevens Difference

Marshall & Stevens provides Fairness and Solvency Opinions, valuation analyses, investigative accounting, and expert witness services to assist public and private clients with their important transactions and litigation matters.

Our Locations

 

Client Highlights

Here are a few client success stories from public and private companies we’ve worked with

Healthcare Valuation Services Contacts at Marshall & Stevens

Matthew R. West

ASA, MBA

Practice Leader

Background

Matthew R. West, is a Principal and Executive Managing Director with Marshall & Stevens Incorporated.  He serves as National Practice Leader for the Healthcare Practice and the Energy & Infrastructure Practice. He is also active in the Financial Valuation & Consulting Practice.

Mr. West specializes in the valuation of healthcare systems, physician practices, business enterprises, debt and equity instruments, and intangible assets. Analyses performed are used for compliance and consulting purposes including buy/sell consideration, purchase price allocation (FASB ASC 805), capital stock/stock option valuations (IRC 409A, FASB ASC 718), impairment (FASB ASC 350), estate and gift tax reporting, ESOP formation and reporting, and financial reporting of complex financial instruments including auction-rate securities (FASB ASC 820). He also leads Fairness Opinion engagements.

Mr. West has a specialty in the valuation of dialysis centers and practices.

Mr. West has provided expert witness testimony in valuation and economic damage assessments on separate occasions in the states of Colorado and Oklahoma.

Mr. West earned a Master's in Business Administration with an emphasis in Accounting and Taxation from St.  Louis University and a Bachelor of Science in Business Administration and Finance from the University of Kansas. 

Mr. West is an Accredited Senior Appraiser (“ASA”) of the American Society of Appraisers, in the Business Valuation discipline and in Intangible Asset Valuation.  He has also received a Certification of Completion, American Society of Appraisers— Advanced Multidisciplinary Healthcare Valuation Education Program.

Professional Highlights

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  • Marshall & Stevens, Inc.
    Executive Managing Director, 2002-present

David Gaynor

ASA, CEIV

National Practice Leader

Background

David A. Gaynor, ASA, is a National Practice Leader for our Financial Valuation Practice and Managing Director of our Healthcare Valuation Practice. Mr. Gaynor’s responsibilities include overseeing the delivery of valuation services to the Firm’s financial valuation clients.

Mr. Gaynor has more than 22 years of consulting experience, specializing in the valuation of businesses and business interests, intangible assets, liabilities, and complex securities in connection with mergers and acquisitions, financing, estate and gift tax planning, charitable contributions, litigation support services, strategic planning, fairness opinions, Employee Stock Ownership Plans (ESOPs), accounting matters, and recapitalizations. Mr. Gaynor has served clients in a wide variety of industries, including the healthcare, food & beverage, restaurant, consumer products, telecommunication and manufacturing industries.

Prior to joining Marshall & Stevens, Mr. Gaynor led the Healthcare Valuation Group at Crowe, LLP. He has also been employed at CohnReznick, LLP and EisnerAmper, as well as Management Planning Inc. and Pluris Valuation Advisors, LLC.

Mr. Gaynor earned a Bachelor of Science in Finance from The College of New Jersey in Ewing, NJ.

Mr. Gaynor is an Accredited Senior Appraiser (ASA) in business valuation with the American Society of Appraisers. In addition, Mr. Gaynor is a Member of the Appraisal Issues Task Force (AITF), a Board Member of the Towson University Family Network, and a Member of the Montgomery Township, NJ Budget and Finance Committee. Mr. Gaynor is a frequent writer and speaker on valuation topics.

Professional Highlights

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  • Member, Appraisal Issues Task Force
  • Board Member, Towson University Family Network 
  • Member, Montgomery Township, NJ Budget and Finance Committee
  • Marshall & Stevens, Inc.
    December 2019-present 
      ‣
    Managing Director, Northeast Financial Valuation Practice Leader, 2023-present 
      ‣ Managing
    Director, 2019-2023
  • Crowe
    February 2014-November 2019
      ‣
    Managing Director, Healthcare Valuation Services Leader, 2019
      ‣ Senior Manager, 2014-2019
  • CohnReznick LLP 
    Senior Manager, 2012-2014
  • Pluris Valuation Advisors LLC
    Vice President, 2010-2012
  • Management Planning, Inc. 
    Vice President, 2008-2010
  • Valuation Research Corporation
    Vice President, 2007-2008
  • Crowe Horwath LLP
    Manager, 2004-2007
  • EisnerAmper
    Supervisor, 2002-2003

JC Feldman

Assistant Director

Background

John “JC” Feldman is an Assistant Director, Business Development in the Tampa Office of Marshall & Stevens Incorporated.

Mr. Feldman works with clients and their trusted advisors to provide valuation solutions to assist them with mergers, acquisitions and divestitures, wealth transfer, recapitalizations, and insurance placement.

Prior to joining Marshall & Stevens, Mr. Feldman worked in medical sales. He was the Director of Operations for a start-up telehealth company, LifeLight Systems and before that spent seven years with Orthomedx, a medical device company, where his role grew to managing the second largest territory in Florida.

Mr. Feldman earned a Bachelor of Science, Biology, from the University of Central Florida where he was a member of men’s lacrosse team.

He is a member of the Orlando chapter of the Association for Corporate Growth (ACG) and Secured Finance Network (SFNet).

Professional Highlights

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  • Member, Association for Corporate Growth, Orlando Chapter
  • Member, Secured Finance Network
  • Marshall & Stevens, Inc.
    Assistant Director, Business Development, 2022-present
  • LifeLight Systems
    Chief Operations Officer, 2021-2022
  • ORTHOMEDX CORPORATION / Kinex Medical 
    Regional Account Manager, 2016-2021
  • Strada Security
    Commercial Account Manager, 2015-2016
  • DICK'S Sporting Goods
    Footwear Associate/Lead, 2012-2015

Gabriel Rodriguez is a Business Development Associate in the Chicago Office of Marshall & Stevens Incorporated. He works with clients and their trusted advisors to provide valuation solutions to assist them with mergers, acquisitions and divestitures, wealth transfer, recapitalizations, and insurance placement.

Mr. Rodriguez earned a Bachelor of Business Administration in Marketing and a minor in Political Science from Loyola Marymount University where was an officer in the LMU Latinx Business Association, member of the International Business Society, and starter for LMU’s Ice Hockey Team.

A native of Chicago, Gabi was a student intern at Marshall & Stevens before joining fulltime.

Brent Shockley

CFA, CVA

Managing Director

Background

Brent Shockley is a Managing Director with twenty-five years of experience performing business valuations for transaction and tax purposes, fair value analysis for financial reporting, healthcare valuations, and litigation support. He joined Marshall & Stevens in 2024, with the acquisition of ValueScope.

Mr. Shockley is experienced in business appraisal and valuation of underlying intangible assets for financial and tax reporting, merger and acquisition analyses, and litigation support. He has broad industry knowledge with particular valuation experience in technology, health care and financial services. His experience in valuing intangible assets includes trade names, trademarks, customer lists (or relationships), and noncompete agreements. Mr. Shockley has experience in valuing several types of securities, including common stock, options, warrants and partnership interests.

Mr. Shockley was a senior analyst with Value Management Group where he provided business valuation and transaction advisory services to publicly traded health care companies, hospital networks, independent surgery centers, surgical hospitals and diagnostic imaging centers. During his tenure, he performed fair market value analyses of minority and controlling equity interests for acquisitions, joint ventures and transaction pricing. In addition, Mr. Shockley developed pro forma and feasibility analyses for early and mid-stage health care ventures.

As a senior consultant with CBIZ Valuation Group, LLC, Mr. Shockley performed valuation, financial advisory and litigation support services for publicly traded and closely held companies, partnerships, and joint ventures. His experience included engagements for financial reporting and regulatory compliance, including goodwill and intangible asset impairment, purchase price allocation, in-process research and development, and noncompete covenants. He was also involved in transaction and financing analyses including fairness opinions, employee stock option plan (ESOP) valuations, buy/sell agreements and financial advisory services. In addition, he performed various engagements for management requirements including options and restricted securities, economic value added, business plans, financial restructuring and strategic and market analysis. During his tenure with the firm, he co-authored “Pros and Cons of Stock Option Valuation Methods,” published in Investment News.

Mr. Shockley held analyst positions with Dain Rauscher, Inc. (now RBC Wealth Management) and PaineWebber (now UBS Wealth Management).

Professional Highlights

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  • CFA Society of Dallas / Fort Worth 
  • National Association of Certified Valuation Analysts
  • National Society of Certified Healthcare Business Consultants 
  • Medical Group Management Association
  • ValueScope, Inc.
    Managing Director, 2007-present
  • Value Management Group 
    Senior Analyst, 2005-2007
  • CBIZ Valuation Group  
    Senior Consultant, 2002-2005
  • Dain Rauscher, Inc.  
    Analyst, 1999-2002
  • PaineWebber, Inc. 
    Summer Intern, 1998

Relevant Insights

Healthcare Valuation: Practices and Facilities

There are many events that may set the stage for a valuation of a healthcare organization. Whatever the reason for the valuation, there are significant and complex aspects of each transaction...
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Healthcare Management Services Agreements Valuation

The Healthcare Valuation professionals at Marshall & Stevens provide independent value opinions for healthcare related enterprises, agreements, facilities and assets. We understand that our work is...
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Property Tax Reporting and Disputes

Marshall & Stevens provides independent third-party valuation advisory services to public and privately held enterprises and investors across the spectrum including business development companies...
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