Business, Fixed Asset & Healthcare Real Estate Appraisal

Pinnacle’s team of accredited valuation professionals provide business valuation opinions to support transactions for mergers, acquisitions and joint ventures in the healthcare industry. Pinnacle can value the entire operating business and appraise individual components of the business including tangible assets such as fixed assets and inventory; intangible assets such as non-compete agreements, customer relationships, trained and assembled workforce, medical records and proprietary technology; and real estate. Pinnacle also provides clients with valuable insights on options to buy or sell business interests, securities and off-balance sheet arrangements.

Fair Market Value Determination

Transactions involving physician ownership or not-for-profit entities require fair market value determination to comply with Stark, Anti-Kickback and IRS regulations. Pinnacle applies years of healthcare industry specific knowledge and experience to value unique transactions and business arrangements such as:

  • Mergers & Acquisitions
  • Joint Ventures
  • Divestitures
  • Bankruptcy
  • Healthcare Real Estate Appraisal




Financial Advisory

Clients are often presented with investment opportunities such as the sale of the business, practice buy-in or formation of a joint venture and need outside expertise to assist in their decision making process. Pinnacle’s healthcare transactions experience allows us to assist with:

  • Return on Investment Analysis
  • Cash Flow Simulation
  • Build vs. Buy Analysis
  • Debt Service and Phantom Income Tax Liability Coverage





Business Valuation

Fair Value for Financial Reporting

U.S. Generally Accepted Accounting Principles (GAAP) increasingly require assets and liabilities to be started at their fair values. Healthcare transactions often give rise to the recognition of various tangible and intangible assets and liabilities which must be recorded at their fair values and may need to be revalued at certain points in time. Pinnacle has extensive experience with fair value analysis for situations including:

  • Purchase Price Allocations
  • Intangible Asset and Goodwill Impairment Testing
  • Equity Securities / Non-Controlling Interests
  • Off-Balance Sheet Transactions


Areas of Expertise Include:
  • Hospitals (Non-Profit, Specialty)
  • Physician Practices
  • Diagnostic Imaging Centers
  • Ambulatory Surgery Centers
  • Long-Term Care Facilities
  • Dialysis Centers
  • Rehabilitation Facilities
  • Skilled Nursing Facilities
  • Cardiac Cath Labs
  • Sleep Centers
  • Urgent Care Centers