Becker's Hospital Review

Save the date! Becker's Hospital Review Annual Meeting – May 7-9, 2015 – Chicago 14 Knoxville, Tenn.-based TeamHealth Anesthesia is one of the leaders in outsourced anesthesia and pain management. The physician-led company has almost the largest bench of specialists in the coun- try delivering hospital-based services. Its physicians provide anesthesia services in community hospitals, major medical centers and teaching facilities. 15. Ambulatory surgery centers. ASCs have not experienced large growth recently. However, with approximately 5,500 ASCs in the country, they continue to deliver solid profits. There are a num- ber of companies that invest heavily in and man- age ASCs, with some of the largest private equity firms in the country, such as TPG Capital (which has backed Deerfield, Ill.-based Surgical Care Af- filiates, one of the largest ASC companies), and Welsh, Carson, Anderson & Stowe (which has close ties with Addison, Texas-based United Surgical Partners International, another prominent ASC company). Additionally, in 2010, private equity firm H.I.G. Capital completed a major investment in Tampa, Fla.-based Surgery Partners, one of the largest ASC operators in the Southeast. Many deals occurring in the ASC sector concern existing centers rather than startups, and with many ASCs remaining independent, investors will continue to be attracted to the ASC space. It is anticipated that private-equity backed ASC companies will begin considering new acquisitions. For instance, USPI has suggested it anticipates in- creased M&A activity in the coming years as ASCs partner with other providers to form strong affili- ations in the face of healthcare reform challenges. 16. Revenue cycle management. The number of revenue cycle management companies focused on the outsourcing of billing and collections con- tinues to increase. For each company that focuses on hospitals and health systems, there are dozens that focus on smaller specialties. The revenue cy- cle management companies run the gamut from full-service providers to companies providing software as a service. Revenue cycle management assists healthcare orga- nizations with a number of processes, including cod- ing claims using ICD-10. Although President Barack Obama signed the Protecting Access to Medicare Act of 2014 into law April 1, which delayed the nation's switch to ICD-10 by at least a year, companies that provide software or services to assist healthcare or- ganizations in the switch will continue to be greatly needed. Market research firm Black Book Rankings has projected that the $2.4 billion hospital revenue cycle management industry will experience double- digit increases in 2014. Revenue cycle management companies have provided attractive investment opportunities for strategic and financial buyers alike, according to a report from Duff & Phelps, a global provider of fi- nancial advisory and investment banking services. In 2010, there were already more than 150 reve- nue cycle management companies owned by pri- vate equity funds, ranging from Executive Health Resources (owned by ABRY Partners) to Transax International Ltd. (owned by Yorkville Advisors). 17. Valuation firms. With the Stark Law and the federal Anti-Kickback Statute requiring valua- tions for almost everything hospitals do, it is no surprise a number of valuation firms have grown around healthcare. Some of the leading firms in- clude VMG Health, HealthCare Appraisers and Principle Valuation. VMG Health performs more than 1,500 valuations each year. There are many other companies with a broader focus that offer valuations as a part of their busi- ness. For example, Huron Consulting Group of- fers independent valuation services along with a number of other business advisory solutions. 18. Healthcare investment bankers. There are a great number of investment banks — such as Raymond James, Kaufman Hall, Cain Broth- ers and Juniper Advisory — which focus heavily or exclusively on healthcare. These banks offer healthcare organizations a broad range of services and products such as public and private equity to investor-owned and tax-exempt providers. 19. Health IT. There has been tremendous growth in different types of health IT opportunities. CEAA CERTIFIED EQUIPMENT APPRAISAL ASSOCIATES, INC. Call us at (215) 260-2680 for a FREE consultation. For more information, visit us on the web at www.ceaahealthcare.com or email us at ceaahealthcare@aol.com CEAA CERTIFIED EQUIPMENT APPRAISAL ASSOCIATES, INC. Certifi ed Equipment Appraisal Associates, Inc. is a leading nationwide medical equipment appraisal fi rm offering comprehensive medical equipment appraisals for the healthcare industry. We have conducted over 2,000 Healthcare Equipment Appraisal Assignments in all 50 states. We can appraise a single unit of medical equipment to fully equipped private practices, clinics, imaging centers and entire hospitals. On-Site & Desktop Equipment Appraisals for: When Compliance Matters, Get Certifi ed. • Purchase price allocation • Hospital and physician practice valuations • All healthcare equipment types • Stark Law, SBA, FASB & IRS compliance • Lease negotiations • Partnership buyouts • Litigation and expert witness • Asset inventory • Sale of assets • Cost segregation • Financing

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