Emily Rizos, CFA

Director

Emily Rizos is a Director at VMG Health and is based in the Dallas office. Her focus is on providing valuation and transaction advisory consulting services within the healthcare services industry.

Rizos provides fair market value analyses for purposes of regulatory compliance and management planning, valuations in support of financial reporting requirements, and consulting and other transaction advisory services. She has significant expertise in valuations related to acute care hospitals, ambulatory surgery centers, urgent care centers, physician groups, home health and hospice agencies, diagnostic imaging centers, radiation therapy centers, and several other ancillary healthcare businesses. The clients she primarily serves are not-for-profit health systems and for-profit healthcare providers. Rizos currently serves as the industry expert lead for VMG Health’s Urgent Care Affinity Group and is a member of the Urgent Care Association of America.

Prior to VMG Health, Rizos graduated magna cum laude with a Bachelor of Business Administration in Finance from Texas A&M University in College Station, Texas. She also minored in psychology and international business.

She currently holds the Chartered Financial Analyst (CFA) designation through the CFA Institute and is a member of the Dallas Fort Worth CFA Society. In addition, she has been published in the Journal of Urgent Care Medicine and has presented on CLE-accredited webinars for both the American Bar Association and American Health Law Association. She currently serves as Vice Chair of Educational Programming for the American Health Law Association’s Business Law and Governance Practice Group and Healthcare Transactions Affinity Group.

Frank A. Fehribach is a Director in the Real Estate division at VMG Health and is located in the Dallas office. He has substantial experience in valuing healthcare-related properties including acute care, surgical, behavioral and rehab hospitals, surgery centers, imaging centers, cancer centers, medical office buildings, and other real-estate related facilities.

Fehribach’s experience includes valuations in the context of Stark compliance, fair value analysis (ASC 805, ASC 360) for financial reporting, fair market value analysis for sale/leaseback transactions, fairness opinions, rental rate analyses, collateral valuations for financing transactions, and valuations for insurance purposes. His clients include for-profit and not-for-profit health systems, real estate investment trusts (REIT), other publicly owned and privately held healthcare entities and various law firms.

In addition to healthcare valuations, Fehribach has performed valuations for various types of businesses including high-tech manufacturing entities during his 30+ year career. Fehribach has provided opinions of value under various premises including for exchange in the open market, for forced liquidation, in use assuming economic viability of the associated business entity and as a going concern. Fehribach has served on foreign assignments including activities in Mexico, Canada, Europe, Middle East, Asia, and South America.

Fehribach is a State Certified General Real Estate Appraiser in the following states: Arizona, Arkansas, California, Colorado, Georgia, Illinois, Iowa, Kentucky, Michigan, New York, Pennsylvania, Washington, Minnesota, and Texas.

Larry D. Snyder has experience in the valuation of healthcare, commercial, special use, and investment grade properties throughout the United States. Snyder’s valuation experience includes determining Market Value for lending purposes, partnership considerations, purchase and sale decisions, ad valorem purposes, allocation of purchase price, and Fair Market Value for Stark Law compliance and internal planning purposes. He has been appraising commercial and special use properties since 1986.

Snyder has performed valuation assignments for numerous healthcare-related entities. Clients served include: Geisinger, Encompass, Memorial Hospital at Gulfport, Medical Properties Trust, Inc., Hospital Corporation of America (HCA), Community Health Systems (CHS), CHRISTUS Health, USPI, Centura Health, Bluefield Regional Medical Center, McLeod Health, Blessing Hospital System, Marshfield Clinic Health System, Hospital Sister’s Health System, Ascension, Beaumont Health, Bon Secours, University of Utah, Seavest Healthcare Properties, and Alliance Oncology. Snyder has also provided valuation services to a variety of healthcare law firms including Kutak Rock LLP, Moore & Van Allen PLLC, Hall Render Killian Heath & Lyman, P.C., Foley & Lardner, and Reed Claymon Meeker & Hargett, PLCC.

Types of medically-oriented properties analyzed include: cancer clinics, medical offices, ambulatory surgery centers (ASCs), diagnostic imaging facilities, micro-hospitals, acute care hospitals, rehab hospitals, behavioral hospitals, and skilled nursing facilities. Snyder’s valuation experience also includes non-healthcare properties such as: vacant land, leasehold analyses, and various triple-net leased properties.

Lukas Recio is a Director in the Buy/Sell Side Due Diligence and Business Valuation Divisions of VMG Health in the Dallas office. He provides consulting, transaction advisory, and business valuation services to clients within the healthcare services industry.

Recio graduated from Texas A&M University Mays Business School where he earned a Bachelor of Business Administration in Accounting and a Master of Science in Finance. Before joining VMG Health, he gained valuable experience at PwC’s Dallas office as a part of their Banking and Capital Markets assurance team. Recio is currently a licensed Certified Public Accountant (CPA) in Texas.

Matt McKenzie is a Director in the Professional Service Agreements Division at VMG Health and is based in the Denver office. His focus is in providing valuation and consulting services for compensation arrangements within the healthcare services industry. He specializes in valuations related to clinical compensation models, on-call coverage, physician administrative and executive services, subsidy coverage, management services, and quality initiatives.

McKenzie serves as a contributor to VMG Health’s FMV Tools™ which allows users to quickly establish compensation levels for employed and independent contractor physicians in various roles based on systematic and unbiased guidelines.

McKenzie was a Distinguished Scholar at Southern Methodist University and graduated with a Bachelor of Business Administration in Finance with honors from the Edwin L. Cox School of Business. Additionally, he holds a Bachelor of Science in Economics with Financial Applications from the Dedman College of the Humanities and Sciences at SMU. McKenzie is currently designated as a Certified Valuation Analyst (CVA).

Nick Taglioli is a Director in VMG Health’s Dallas office. He specializes in providing valuation, transaction advisory, and consulting services to businesses within the healthcare industry.

Taglioli’s experience includes providing valuation and advisory services related to transactions, joint ventures, financial reporting requirements, federal tax compliance, and commercial litigation. Taglioli’s experience spans numerous subindustries including acute care and specialty hospitals, ambulatory surgery centers, diagnostic imaging centers, physician practices, oncology centers, skilled nursing facilities, and urgent care centers. In addition to the extensive valuation experience for transaction planning, he has consulted on numerous black box reimbursement analyses for joint venture, restructuring, and denovo business development purposes. Clients include for-profit and not-for-profit health systems, ancillary services providers, development companies across several healthcare industry subspecialties, and other publicly owned and privately held healthcare entities.

Prior to VMG Health, Taglioli was a senior analyst at Hill Schwartz Spilker Keller, LLC in the Business Valuation and Litigation Consulting Groups where he performed valuation, transaction advisory, and litigation consulting services for the firm’s corporate and private clients. Taglioli received a Bachelor of Business Administration from Texas State University, and a Master of Business Administration from Texas Tech University.

Scott Ackman is a Director based in VMG Health’s Minneapolis office. Scott has over 20 years of health care experience and specializes in strategic planning, medical group optimization, and financial analysis. He serves clients on various projects related to ambulatory planning, facility development, operations improvement, provider compensation planning, provider alignment, financial planning, as well as payer and financial risk-based strategy.

Prior to joining VMG Health, Scott was a Partner with Health Care Futures where he served clients for more than 13 years. He began his career in the medical device and payer spaces specializing in managed care contracting and business development.

Scott earned his Master’s degree in Health Care Administration from the University of Minnesota and both Master’s and Bachelor’s degrees in Physical Therapy from the University of North Dakota.

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.

William Teague is a managing 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 de novo 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.

Sector Experience

Ambulatory Surgery Centers
Dialysis
Hospitals
Hospital-Based Medicine
Imaging & Radiology
Medical Transport
Oncology
Physician Practices
Post-Acute Care
Urgent Care & Freestanding EDs

Areas of Expertise

Fair Market Value Opinions
Financial Reporting
Fairness Opinions