The ability to diagnose a valuation problem and craft a workable solution is the only sustainable value of a practice appraiser.

David Shuffler was engaged by a board certified plastic and reconstructive surgeon with a sub-specialty in facial plastic surgery to determine the value of his practice for the purpose of divorce in a marital litigation proceeding.

David argued that the transfer risk rooted in the patient records of this uncommon sub-specialty was excessive and disproportionate which devalued future earnings and shareholder value.

The scope of this engagement was multi-faceted. David appraised the practice; reviewed the adversary valuation report; gave counsel a hand preparing rebuttal, direct and cross examination and profferd deposition witness testimony.

David Shuffler teamed up with the advisor of the spouse of a board certified physician to determine the value of the doctor’s practice for the purpose of divorce and spousal support.

David argued that voluntary and intentional reduction of patient service capacity was self serving and should not have an adverse impact on the future earning capacity of the practice or penalize the non titled spouse.

David determined the value of the practice and teamed up with the advisor to normalize adjusted net cash flow and EBITDA.

David Shuffler acted on behalf of a chiropractor in a contract dispute with his associate. The attorney for the doctor engaged David to calculate the damage consequence of the alleged violation of the associate’s covenant not to compete.

David argued the alleged contract breach caused irreparable damage to the patient records of the practice which devalued future earnings and decreased the value of the practice.

In order to calculate damages, David conducted a pre- and post-valuation appraisal of the subject practice and also valued the new practice of the former associate. He also proffered expert witness testimony in state superior court.

David Shuffler was engaged by a general dentist to appraise and sell his practice.

The scope of the engagement was emergent and multi-faceted. Determine the listing price. Develop a pricing strategy. Find and vet a buyer. Get the buyer a practice acquisition loan.

This engagement was a perfect storm. David found a buyer within ten days. The sale closed thirty days later.

David Shuffler was engaged by the physician members of a multi-specialty ambulatory surgical center to determine the value of their ownership interest to make possible the sale of a member interest to other physician investors.

David prepared a cash flow projection and carried out a merger analysis of the subject ASC as well as the investor practice. He helped the doctor members cobble together and implement negotiation strategy and also wrote a letter of intent memorializing the conditions of the prospective sale.

David Shuffler worked side by side with the senior managers of a hospital to determine the value of the internal medical practice of an attending that the hospital wanted to integrate.

David conducted the appraisal in accordance with Internal Revenue Service Exempt Organizations Continuing Professional Education Technical Instruction Program, the Stark Anti-kickback Law, Federal Fraud and Abuse Regulations and Regulatory Safe Harbors.

David worked with the hospital managers and their attorney to negotiate a realistic, Stark friendly purchase price and, then, helped them design a seller compensation model that conformed to the issues of private inurnment.