Healthcare

American Appraisal provides valuation and consulting services to the healthcare industry in all 50 states, Puerto Rico and the US Virgin Islands.

Who We Serve
Our healthcare industry clients include: 

• For-profit and not-for-profit integrated health systems
• Hospitals and ambulatory surgery centers of all types
• Long-term care and skilled nursing facilities
• Ancillary service facilities such as imaging, diagnostic labs, rehab facilities and pharmacy services
• Home health and hospice care providers
• Physician groups
• Managed care organizations
• Other health service organizations

What We Do
We provide expertise in the valuation of businesses and business interests including equity and debt securities, options, partnership interests, compensation arrangements, joint venture interests, intellectual property and all classifications of tangible and intangible assets.

American Appraisal assists with: Fair value accounting for business combinations Impairment testing Fair market value opinions for regulatory and tax compliance Asset-based financing Dispute resolution Fairness and solvency opinions Insurance placement and risk management Primary and secondary COPE data collection Fixed asset inventory and reconciliation services Real estate advisory Property tax valuations and negotiations Lease negotiations Fair rental analyses Fair market value opinions of physician compensation arrangements

Examples of Our Recent Experience

• Valuation of real estate, personal property and intangible assets of more than 54 enterprises comprising more than 250 related hospital structures for fair value reporting of a business combination
• Valuation of more than 75 physician practices for a single not-for-profit health system related to potential purchase of the practices and regulatory compliance
• Valuation of the tangible and intangible assets of an integrated health system for financial reporting purposes related to a merger of two not-for-profit systems
• Valuation of multiple physician group practices for a public hospital management company
• Research and analysis of fair rental value for medical space located within more than 1,000 stores of the world’s largest retailer
• Inventory, tagging and reconciliation of assets located in 90 cancer centers for SOX compliance
• Valuation of property and medical equipment in 37 buildings totaling 2.9 million square feet, for insurance purposes
• Negotiation of a fair lease rate for one of the nation’s largest LTACH and nursing home providers
• Valuation of a multihospital system for potential HUD/FHA financing
• Valuation of on-call compensation for one of the largest healthcare systems in the Northeast
• Valuation of a cancer center to comply with a lease/purchase option
• Valuation of 17 medical office buildings for financial reporting purposes
• Valuation of a surgery center for regulatory compliance related to lease structuring
• Valuation and fair market rent estimates for a proposed children’s hospital with respect to lease structuring

Why American Appraisal?
American Appraisal is a long-standing healthcare valuation leader. We are one of the few providers of valuation services with the expertise and experience to address the value of all classifications of tangible and intangible assets. We have performed hundreds of valuations across virtually all healthcare and related segments, from small private clinics to national healthcare corporations.