Business, Fixed Asset & Real Estate Valuation

Pinnacle’s team of accredited consulting professionals provide business valuation opinions to support transactions for mergers, acquisitions and joint ventures in the healthcare industry. In addition to assessing the fair market value of an operating business, Pinnacle performs valuation of intangible assets such as non-compete agreements, customer relationships, trained and assembled workforce, medical records, proprietary technology, in addition to tangible assets including fixed assets.
Pinnacle also provides clients with valuing insights in regard to options to buy or sell business interests, securities, and off-balance sheet arrangements. Our team of valuation consultants provide financial advisory services to assist in strategic business planning efforts for clients.

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
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