Nicole Montanaro is a Director with VMG Health in the Compensation Division and is based in the Dallas, Texas office.

She specializes in providing valuation and consulting services for professional services agreements within the healthcare industry, and more specifically, related to the valuation of pay-for-performance arrangements, such as co-management, cost savings initiatives, hospital efficiency improvement programs and other physician alignment initiatives. Her expertise also includes air and ground ambulance/medical transport services agreement valuations related to all levels of service transports including specialty care transports, neonatal intensive care unit transports, and non-emergency medical transport services (wheelchair and stretcher vans).

She also specializes in the valuation of purchased services arrangements, such as administrative and non-clinical management functions, billing and collections, and development/pre-operations services. Specifically, Montanaro’s range of experience encompasses contractual relationships between a number of different types of entities, which include physician organizations, health systems, third party owner/operators, management service organizations, and joint ventures. Additionally, her extensive experience covers a variety of subindustries within the healthcare industry including hospitals (acute care and surgical/specialty), physician practices, ambulatory surgery centers, imaging, radiation and medical oncology, inpatient and outpatient rehabilitation, behavioral health, skilled nursing facilities, pharmacy, and home health/hospice.

Montanaro has spoken at various legal and healthcare organizations and has published articles regarding compensation valuation issues. She is also a member of the American Bar Association’s Healthcare Fraud & Compliance Interest Group, which addresses issues that are the focus of fraud and abuse prevention, investigations, and prosecutions.

Prior to joining VMG Health in 2013, Montanaro began her valuation career working for Hill Schwartz Spilker Keller LLC with a focus on estate, gift, and tax valuation for limited liability companies and family limited partnerships. Prior to that, she earned her Bachelor of Business Administration in Finance from Southern Methodist University in Dallas, Texas.

Stephen H. Schulte is a director based in the Nashville office. He specializes in providing valuation, transaction advisory, and consulting services to the healthcare industry. He has a broad range of experience working with physician practice organizations, physical therapy centers, ambulatory surgery centers, specialty/surgical hospitals, oncology centers, and diagnostic imaging centers. Schulte also has extensive experience in physician clinical compensation arrangements. His clients include for-profit and not-for-profit health systems and other publicly owned and privately held healthcare entities.

Prior to joining VMG Health, Schulte worked in the banking industry and became Series 6 and Series 63 licensed. He received a Bachelor of Science in Finance from the Iowa State University College of Business. He is a member of the National Association of Certified Valuators and Analysts (NACVA) and is a Certified Valuation Analyst (CVA). He has also completed the business valuation courses at the American Society of Appraisers and is pursuing the Accredited Senior Appraiser (ASA) designation.

Tim Spadaro is a director in the Valuation & Transaction Advisory Services Division of VMG Health in the Dallas office, where he provides financial due diligence, business valuation, and other transaction advisory and consulting services to clients within the healthcare services industry.

Tim has experience providing transaction advisory services related to mergers & acquisitions, financing, and shareholder transactions. He has served clients in many sectors of the healthcare industry including acute care hospitals, ambulatory surgery centers, diagnostic imaging centers, ground and air ambulance, physician and dental practice management, post-acute care, and other ancillary healthcare service businesses. As a consultant, his goal is to assist clients with expansion, acquisition, capital budgeting and strategic decision making.

Prior to joining VMG Health, Tim gained accounting and valuation experience at PricewaterhouseCoopers and Strategic Value Partners in the New York Metro area and led the valuation group at a regional accounting firm in Upstate New York. Tim attained both his Bachelor of Science and Master of Science in Accountancy from Bentley University in Waltham, Massachusetts. He has earned the Chartered Financial Analyst (CFA) designation and is also a Certified Public Accountant (CPA) that has received the Accredited in Business Valuation (ABV) credential.

William Teague is a director based in the Nashville office and has been with VMG Health since 2010. William specializes in providing valuation, transaction advisory, and management consulting services to the firm’s healthcare clients. He has been involved in over 500 engagements having particular experience with acute care hospitals, radiation/proton therapy centers, behavioral health hospitals, ambulatory surgery centers, medical transport companies, physician groups and home health/hospice agencies.

William serves as a trusted financial advisor to his clients in support of transactions, affiliations, joint ventures, recapitalizations, the development of denovo facilities and for other strategic planning purposes. In this capacity, his experience includes performing valuations of businesses/assets, preliminary due diligence support, risk assessments and feasibility or market studies. In addition, he has helped clients develop detailed proformas, improve financial performance of existing facilities and plan for new investment projects. Finally, William has extensive experience with intellectual property valuation, such as trade name / branding arrangements and certificates of need (CON).

Mr. Teague graduated summa cum laude and holds a Bachelor of Science in Finance and Economics from the University of Tennessee at Knoxville. He holds the Chartered Financial Analyst (CFA) designation from the CFA Institute and is designated as a Certified Valuation Analyst (CVA) through the National Association of Certified Valuators.

Joel Gomez is a Director in the Capital Asset Services division and is based out of the Nashville office. Gomez has experience providing tangible asset valuation services and consulting for a variety of healthcare clients and law firms. Healthcare clients he has served include valuation engagements for hospitals, physician practices, ambulatory surgery centers, and imaging centers. Additionally, he has experience providing asset valuations related to equipment lease and timeshare arrangements.

Prior to joining VMG Health, Gomez worked for the G. Brint Ryan College of Business at the University of North Texas, and he also graduated from UNT in 2008. Gomez has his Accredited Senior Appraiser (ASA) designation from the American Society of Appraisers.

Alex Wiederin is a manager in the Professional Services Agreements division at VMG Health and is based in the Dallas office. He specializes in providing valuation and consulting services for professional service arrangements within the healthcare services industry, including valuations related to medical transport services, management services, and co-management.

Wiederin graduated from the University of Iowa with a Bachelor of Science degree in Health & Human Physiology and continued his education at Texas Christian University where he obtained Bachelor of Business Administration degrees in both Accounting and Finance from the Neeley School of Business. He is designated as a Certified Valuation Analyst (CVA) through the National Association of Certified Valuators and Analysts.

 

Patricia Li is a Senior Manager in VMG Health’s Coding, Compliance and Operational Excellence division. Prior to joining VMG Health, Li served as a multi-specialty practice manager and senior administrator in Connecticut and New York. In Li’s 12+ years of experience in healthcare administration and practice management, she has urgently transformed operational workflows, led provider credentialing processes, managed practice expansions, and overseen Electronic Medical Record implementation initiatives.

Many of Li’s clients rely on her human resources management and support, business and financial performance improvement strategies, federal and state compliance management, and provider trainings. She is deeply invested in the mission of VMG Health, not only as an unparalleled service provider, but as an inclusive organization that honors diversity and excellence for women in business.