BFMV Releases 2026 Guide for MSO Entrepreneurs

BuckheadFMV is proud to announce the publication of the 2026 FMV Guide for MSO Entrepreneurs. Partnerships with management services organizations (MSOs) remain prevalent in healthcare, driven by entrepreneurial interest, private equity investment, and continued consolidation and strategic alignment initiatives despite increased regulatory scrutiny. How these partnerships are structured and how the fees are established have unique regulatory compliance considerations.

To help entrepreneurs understand and navigate the process of developing an FMV management fee and structure in a complex regulatory environment, BuckheadFMV has published the 2026 FMV Guide for MSO Entrepreneurs. 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 will address 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, cost mark-ups, and service component fees

• Sample data request and summary page

• Answers to frequently asked questions we often get from clients

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 2026 FMV Guide for MSO Entrepreneurs is available for purchase at the link below.