This article focuses on the qualitative factors that affect valuation in ambulatory surgery centers (ASCs). Seven specific qualitative factors are discussed in detail.

For many entrepreneurs, moving on from their business — especially if it's a business they founded — is one of the most difficult decisions to make. For owners of provider agencies that support individuals affected by an intellectual and/or developmental disability (I/DD), the decision can prove even more difficult when the owner has a personal attachment to and passion for the space. However, while many owners find it difficult to start the process of selling their business, the reality is that it's a necessary and important step. As the old adage says, "Failing to plan is planning to fail."

A true story of the recent sale of a behavioral healthcare company from the initial valuation through creating value and closing the transaction.

The most difficult message I ever delivered was telling my employees, families, and friends that I was selling my provider agency that supported individuals affected by an intellectual and/or developmental disability (I/DD). What few people understood was how painstaking it was to make the decision to sell and how many factors influenced this outcome. Here are the most significant reasons that I became comfortable selling my baby — reasons, I have learned as a merger and acquisition (M+A) advisor, that are shared by many small business owners who make the ultimate decision for their companies.

This article examines some of the key trends, developments and disruptions in the retail pharmacy. Here are eight statistics and figures that help paint a clearer picture of where the industry is now and where it may be heading.

What you will quickly learn is that the value of your company is directly tied to numbers — more specifically, your bottom line and quality outcomes. It doesn't matter how wonderful you believe your company to be. You discover that you didn't monitor your financials closely enough and there are probably some significant changes you should have made long ago. The good news is that if you plan wisely, you can avoid such a scenario and not need to rely on luck to secure a fair sale price for your business. Here are nine steps I would advise you to take instead of leaving the value of your company to chance.

One could argue that few healthcare industries had a better 2018 than ambulatory surgery centers (ASCs). The numerous developments from last year — and the past several years, for that matter — have ASCs well-positioned to take on a greater role in meeting the ever-growing surgical needs of patient populations. At VERTESS, we advise our clients — either buyers or sellers — to consider the following key trends as they evaluate moves in this dynamic industry segment

I recently received an email from an aggressive, prospective buyer interested in a human services company I represent. He sent a laundry list of financial questions about the company. I answered some of the high-level questions but informed him that it would be best if he spoke with the owners before we got too deep into the weeds.

This recommendation did not go over well. Clearly annoyed with me, the prospective buyer claimed I was not representing my client well because it was my job was to get him the information he needed to determine whether to proceed with making an offer.

In this second part, three of our other managing directors discuss why owners of ambulatory surgery center (ASC), home and community services, durable medical equipment (DME), and home health should consider exiting their markets this year.

Consolidation in healthcare picked up steam in 2018 and shows no signs of slowing down in 2019. This trend, along with other factors, is placing great pressure on providers of healthcare services to address a critical question: Is this the year to sell?

For many providers, the answer should be simple: yes.

In this first in a two-part series, two of our Managing Directors speak to why pharmacies and intellectual or developmental disabilities (IDD) service providers should sell in 2019.

When my husband brought up the idea of selling our baby, I was completely unprepared. While we ultimately had a successful sale, largely because my husband had a great vision for a strategic buyer, there was a lot we didn’t know that could have produced more value in our transaction. Here are three key things that would have made a difference then, and certainly today.

Today, families provide nearly $40 billion of uncompensated pediatric home health care (parents are believed to lose about $3,200/year in income when caring for a sick child), though this picture is rapidly shifting with the expansion of Medicaid, the increasing influence of managed care organizations (MCOs), and the Centers for Medicare & Medicaid (CMS) emphasis on providing pediatric care in client homes. This accelerating change offers an opportunity for home health care providers to enter and/or increase market share in an area of demonstrated need.