Real Estate Valuation & Transaction Advisory Services

As the healthcare delivery system has expanded and evolved, buildings in which healthcare businesses operate have become increasingly complex and specialized. The healthcare real estate valuation professional must be aware of the impact of legislative and technological shifts on healthcare real estate value.

VMG Health’s real estate team provides expert real estate valuation and consulting services to healthcare facility owners, operators, managers, lenders, tenants, and advisors. The specialized nature of healthcare real estate assets requires a firm with an in-depth understanding of the business, financial, and legal environment in which our clients work. VMG Health real estate valuation professionals have over 100 years of combined experience and perform engagements for a wide variety of clients in critical areas including:

• Fair Market Value
• Rental Rate Analysis (Fair Market Rent)
• Market Feasibility Studies and Tenant Risk Analysis
• Ad Valorem/Property Tax Consulting
• Litigation Support
• Purchase Price Allocation (ASC 805 Business Combinations)
• Asset Impairment (ASC 350 Intangibles — Goodwill and Others and ASC 360 Long-Lived Asset Impairment)
• Appraisal Review
• Compliance (Anti-kickback, Stark, Fraud and Abuse)
• Commercial Reasonableness Opinions
• International Financial Reporting Standards 13 (IFRS 13) / International Accounting Standards 16 (IAS 16) – Healthcare Real Estate Accounting and Componentization

VMG Health’s Real Estate Valuation Division includes seven members with the MAI designation from the Appraisal Institute, as well as team members who have achieved the MRICS designation from the Royal Institution of Chartered Surveyors as well as the ASA-Real Property designation from the American Society of Appraisers. VMG’s real estate team is experienced in valuing a wide variety of property types throughout the United States that include, but are not limited to:

• Hospitals, (acute care, critical access, long-term, specialty, rehabilitation, micro)
• Medical Office Timeshares (MOTs)
• Medical Office Buildings (MOB)
• Outpatient facilities (oncology, proton therapy, imaging, dialysis, ASCs, labs)
• Skilled Nursing and Senior Living Facilities
• Biomanufacturing Facilities

Relevant Publications

• Built-to-Suit: Constructing a New Building? Transaction Structuring, FMV, and Compliance Considerations – Part 4: Conclusion and Additional Resources
• Built-to-Suit: Constructing a New Building? Transaction Structuring, FMV, and Compliance Considerations – Part 3: Build-to-Suits and Capital Markets
• Built-to-Suit: Constructing a New Building? Transaction Structuring, FMV, and Compliance Considerations – Part 2: Credit Ratings and BTS Healthcare Assets
• Built-to-Suit: Constructing a New Building? Transaction Structuring, FMV, and Compliance Considerations
• Location, Location, Location: Premium Sites and Healthcare Real Estate
• Are You Under (or Over) Insured? Analyzing Replacement Cost for Hospital Systems, Investors & other Healthcare Providers
• Spotlight on Life Sciences – Healthcare Real Estate
• Micro-Hospital Real Estate: Six Key Considerations
• Financial Feasibility & Speculative Medical Office Building Construction
• Under All is the Land: Ground Leases and Hospital Campuses
• On-campus Medical Office Buildings: Is a Premium Warranted? If So, When and Why?