health provider consulting

Hospitals & Health Systems

Hospitals & Health Systems

HC Strategy Strategy

Strategy & Innovation

Business and Ownership Interest Valuation

For-profit and non-profit hospitals, health systems, physician groups, specialty practices, ancillary services businesses, payers, managed care companies, and other healthcare organizations are facing transformational structural changes as the industry shifts from a volume-based model to a value-based paradigm. 

In order to survive and compete in this new paradigm, market participants are entering into a wide variety of integration strategies to maintain/grow market share, achieve economies of scale, prepare for payment reform, cut costs, and increase quality.  These strategies include mergers, sales, acquisitions, joint ventures, joint operating agreements, membership substitution, and other transaction structures that require well-supported, rigorous business and ownership interest valuations.

Guidehouse professionals have experience working with every segment of the provider and payer spectrum, including:


Payers/Managed Care and Other

Acute Care Hospitals and Health Systems

Commercial Health Insurance Companies

Long-Term Acute Care Hospitals

Provider-Based Medicare and Medicaid Health Plans

 Post-Acute and Rehabilitation Hospitals

Non-Provider Based Medicare and Medicaid Health Plans

Primary Care Physician Practices

Health Maintenance Organizations (HMO)

Single and Multispecialty Physician Practices

Preferred Provider Organizations (PPO)

Ambulatory Surgery Centers

Third Party Administrators

Diagnostic Imaging Centers

Practice Management Companies

Psychiatric Hospitals and Behavioral Health

Management Service Organizations

Radiation and Medical Oncology Treatment

Healthcare Technology and Software



Assisted Living Centers


Nursing Homes


Dialysis Clinics


Fertility Clinics


Hospice Companies


Clinical and Anatomic Laboratories


Physical Therapy


Sleep Centers and Labs


In addition, we have experience valuing support entities including practice management companies, management service organizations, and healthcare technology companies.

Guidehouse’s valuation experts have many years of healthcare industry experience and are attuned to legal and regulatory issues affecting valuations in the healthcare industry, including:

  • Medicare and Medicaid “fraud and abuse” laws (Anti-Kickback Statute)
  • Physician Self-Referral (“Stark”) Regulations
  • Internal Revenue Code 501(c)(3) for tax exempt organizations (private inurement and private benefit restrictions)
  • State Attorney General review processes and mandates
  • Commercial Reasonableness
  • State Certificate of Need (CON) laws
  • Office of Inspector General (OIG) Advisory Opinions

In order to ensure clients receive the highest level of expertise, we often draw upon the deep industry experience of our healthcare consulting practice professionals within our firm. This integrated team approach provides clients with supportable and defensible valuation opinions that are unmatched.

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