Medical Practice Appraisal Specialists


The value of a doctor’s practice impacts nearly every aspect of his or her professional, financial and personal life. Learn more about our approach to medical practice appraisal.

Litigation Support

Litigation can be contentious and stressful.  The valuation experts at PVG have the savvy, experience and wisdom that enable doctors and their advisors to find workable, long lasting solutions to complicated legal questions quickly, effectively and economically without having to resort to messy and expensive court room battles.

  • Equitable distribution
  • Non-compete arguments
  • Contract disputes
  • Lost wage claims
  • Partnership disagreements
  • Damage award calculations
  • Review appraisals
  • Internal Revenue Service audits
  • Valuations for divorce
  • Expert witness testimony

Strategic Planning

PVG goes to work on behalf of primary care physicians, specialists and sub-specialists such as ophthalmologists, gastroenterologists, orthopedists, cardiologists, plastic and reconstructive surgeons, physiatrists, as well as general dentists, dental specialists, podiatric surgeons, veterinarians and ambulatory surgical centers, free standing diagnostic centers and hospitals in order to make it easy for them to tackle hard questions associated with:

  • Buying into a practice
  • Starting a practice
  • Hiring an associate
  • Developing an exit strategy
  • Merging practices
  • Designing a doctor salary model

Practice Brokerage

Although the purchase or sale of a medical practice is a business transaction, it involves more than money.  Seller’s emotions run deep.  Buyers experience anxiety, if not sheer terror.  Success requires dedication and hard work and an expert in practice valuation, strategic planning and negotiation by their side.

The PVG valuation team has the skill sets and good judgment to help buyers and sellers work together to resolve the following tricky issues and conclude the sale.

  • Establishing a listing price
  • Working out a sale strategy
  • Developing a counter offer
  • Drafting a letter of intent
  • Mapping out a transition plan
  • Helping the buyer get a loan

Practice Management Consulting

Medicine together with veterinary medicine, chiropractic, podiatric medicine and dentistry experienced unprecedented growth during the past two decades.  Collections were robust.  Profits soared.  Doctor income mushroomed.   Prosperity was the norm not the exception.

But…….the economic model of the old normal is broken.  Too little might be the new normal.  PVG has boots-on-the-ground experience to help doctors meet the challenge of the new normal and…

  • Map out a strategic plan
  • Building out an infrastructure
  • Prepare a cash flow forecast
  • Monitor an operating budget
  • Prepare an associate doctor employment proposal
  • Monitoring MGMA, AVMA or ADA benchmarks

“We don’t talk about valuation theory or appraisal concept with doctors and their advisors. We talk about fair market value, pricing models, practice economics and macroeconomic and practice-specific risk analysis. We discuss procedure. We thrash out execution and strategy. If a doctor walks this talk with us, we will solve his or her valuation problem. You can take that to the bank.”

– Vincent M. Brinly
& David J. Shuffler