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Valuation Issues for ASCs and Hospitals

Valuation Issues for ASCs and Hospitals

Sponsored by VMG Health | gregk@vmghealth.com / osullivan@vmghealth.com | (214) 369-4888

Tags: ASCs Inc | Jon Vick | surgery center sale | surgery center value

Here are five tips for physician owners to increase the value of a surgery center before a sale, according to Jon Vick, president, ASCs, Inc. Click to continue »  

Tags: Intellimarker | labor as percent of revenue | labor costs | staffiing costs | surgery center | VMG Health

Here are the average and median percentages for labor costs as part of net revenue, according to VMG Health's 2009 Intellimarker. Click to continue »  

Tags: ASC | pricing by tier | Scott Becker | surgery center acquisition | valuation firm

This article focuses on the pricing by companies that purchase majority interests in ambulatory surgery centers (ASCs). Currently, there are three public companies that buy majority interests in ASCs and eight to ten private companies that fit into this category.  These companies generally buy more than 50 percent of the interests or assets in an ASC transaction, typically buying anywhere from 51-66 percent of such interests or assets. There are also several companies that focus on acquiring minority interests in ASCs. The lists below are not all-inclusive lists nor do they specifically focus on hospital acquisitions of ASCs, which is also an incredibly active part of the market. Click to continue »  

Tags: case volume | EBIDTA | Intellimarker | statistics | surgery centers | VMG Health

Here are the median EBITDA margins for surgery centers by net revenue depending on the ASC's annual case volume, according to VMG Health's 2009 Intellimarker.

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Tags: bond ratings | Moodys | N.C. Baptist Hospital | North Carolina | S&P | Wake Forest University

Standard & Poor's and Moody's have both reaffirmed strong bond ratings for North Carolina Baptist Hospital in Winston-Salem, a major financial component of Wake Forest University Baptist Medical Center, citing the hospital's current positive focus on integrating management, governance and strategic planning and ongoing financial strength, according to a Wake Forest news release.

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Tags: Andrew Hayek | Joe Clark | Surgical Care Affiliates

Andrew Hayek, president & CEO, and Joe Clark, executive vice president and chief development officer, of Surgical Care Affiliates discuss the ASC transaction market and SCA's considerations for acquiring centers. During its time as an affiliate of HealthSouth, SCA acquired very few centers; however, SCA has since become a fully independent company and, over the last 18 months, an aggressive acquirer of centers.

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Tags: Brian Mathis | surgery center | Surgical Care Affiliates | surgical specialties

Brian Mathis, vice president of strategy at Surgical Care Affiliates in Birmingham, Ala., discusses surgical specialties with the highest profitability in ASCs and how to achieve profitability.

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Tags: EBIDTA | Intellimarker | surgery centers | VMG Health

Here are the average and median EBITDA margins for surgery centers by net revenue, according to VMG Health's 2009 Intellimarker.

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Tags: acquisitions | hospitals | Irving Levin | mergers | transactions

Mergers and acquisitions among hospitals were down 13 percent in 2009, and dollar volume of the transactions was down 35 percent, according to a news release from Irving Levin Associates.

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Tags: acquisitions | Dave Felsenthal | hospitals | Medicaid | Medicare | Principle Valuation

Q: How are hospitals still feeling the effects of the economic downturn?

Dave Felsenthal: States are still struggling, and many states don't have the money to fund state-run Medicare and Medicaid programs. Often they can't pay the bills immediately, so this has resulted in slow payments to hospitals. Some states, like Illinois, are used to these delayed payments, but hospitals in other states will need to prepare for these delayed payments.

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