Whether your organization is launching a new MSO, evaluating a partnership opportunity, or renegotiating an existing management services agreement, this guide is designed to give you the tools and perspective to approach that process with confidence.

The Guide walks through how to build a thoughtful, supportable basis for a management fee that aligns organizational goals and objectives and regulatory compliance. Regulators consistently emphasize that management fees are fact-specific and require a structured, well-documented framework to support FMV and commercial reasonableness. The Guide is intended to support entrepreneurs and organizations in structuring a framework and developing a compliant management fee.

The Guide addresses several elements and considerations for MSO partnerships including:

• Types of MSO partnerships and fee structures

• Regulatory updates and trends

• FMV considerations and valuation approaches

• FMV testing and development process

• Methodologies and approaches to deriving a management fee

• Market data on specialty physician staffing costs, industry margins and cost mark-ups, and service component fees

• Sample data request and summary page

• Answers to frequently asked questions we often get from client