title: Correct fair market value calculation needed to avoid regulatory challenges.
abstract: In valuing a physician practice for acquisition, it is important for buyers and sellers to distinguish between fair market value and strategic value. Although many buyers would willingly pay for the strategic value of a practice, tax-exempt buyers are required by law to consider only the fair market value in setting a bid price. Valuators must adjust group earnings to exclude items that do not apply to any willing seller and include items that do apply to any willing seller to arrive at the fair market value of the practice. In addition, the weighted average cost of capital (WACC), which becomes the discount rate in the valuation model, is critical to the measure of value of the practice. Small medical practices are assumed to have few hard assets and little long-term debt, and the WACC is calculated on the basis of those assumptions. When a small practice has considerable debt, however, this calculated WACC may be inappropriate for valuing the practice. In every case, evidence that shows that a transaction has been negotiated "at arm's length" should stave off any regulatory challenge.
authors.affiliation: Dietrich and Wilson, PC, Framingham, MA, USA.
authors.forename: M O
authors.initials: MO
authors.lastname: Dietrich
mesh_terms: D002201:Capital Expenditures; D017046:Cost Savings; D004465:Economic Competition / Q000331:legislation & jurisprudence; D005375:Financial Audit / Q000379:methods*; D005377:Financial Management, Hospital / Q000379:methods*; D017059:Models, Econometric; D017008:Negotiating; D011216:Practice Management, Medical / Q000191:economics*; D013660:Taxes; D014481:United States