Chance Sherer, CVA

Managing Director

Chance Sherer is a Managing Director at VMG Health and is based in the Denver office. He specializes in providing financial, valuation, and transaction advisory services to the firm’s healthcare clients. Chance’s clients include health systems, ambulatory surgery centers, surgical hospitals, oncology centers, diagnostic imaging centers, dialysis centers, physician groups, and numerous other ancillary healthcare service businesses. In addition to extensive valuation experience for transaction planning and financial reporting purposes, he has consulted on numerous development, feasibility, and recapitalization analyses for joint venture, restructuring, and de novo business development purposes.

Chance is a Certified Valuation Analyst (CVA) and is currently a member of the National Association of Certified Valuation Analysts (NACVA). He is also a member of the American Bar Association (ABA) Health Law Section and is a Subject Matter Expert in the Business and Transactions Interest Group. Chance received a Bachelor of Business Administration in Finance from the Cox School of Business at Southern Methodist University.

Colin McDermott is a Managing Director with VMG Health and is based in the Dallas office. McDermott leads a team of professionals performing fair market value studies, fairness opinions, and fair value analyses used for financial reporting, financial advisory services, and management consulting.  McDermott has particular valuation experience with health plans, hospital systems, ambulatory surgery centers, pharmacies, imaging centers, laboratories, home health and hospice agencies, and physician groups.

Additionally, McDermott often serves as a trusted financial advisor to clients and provides strategic advisory services as they contemplate a transaction. In this capacity, his experience includes financial advisory on behalf of buyer or seller, preliminary due diligence and support for evaluating transaction opportunities, merger or acquisition financial integration, divestiture planning, and feasibility or research studies.

McDermott frequently presents at industry conferences and publishes on healthcare and valuation-specific issues. He is also a contributor to VMG Health’s blog and healthcare valuation insights. McDermott serves on the planning committee for the AICPA Healthcare Industry Conference.

Prior to joining VMG Health, McDermott was Director in the Forensic and Litigation Consulting Group of FTI Consulting, Inc. and was an associate in KPMG’s Forensic and Litigation Consulting Group. In those roles, McDermott provided valuation and advisory services to firms in various industries, including healthcare, manufacturing, energy, and telecommunications.

McDermott received a Bachelor of Business Administration in Accounting and a Master of Science in Finance from Texas A&M University. He is a licensed Certified Public Accountant (CPA) in the state of Texas and holds both the Chartered Financial Analyst (CFA) and Accredited in Business Valuation (ABV) designations.

John S. Trabold III has experience in the valuation of commercial, industrial, and investment-grade properties to estimate Market Value and Fair Market Value for ad valorem purposes, allocation of purchase price, financing, Stark compliance, and investment decisions. Industries served include medical, banking, hospitality, manufacturing, and financial services.

Trabold has extensive experience in the valuation of complex healthcare properties including hospitals, medical office buildings, surgery centers, imaging centers, and long-term acute care hospitals.

Trabold has served clients in 40 of the United States and Puerto Rico. Clients include Glacier Hospital, Capella Healthcare, Wise County Regional Health System, Texoma Medical Center, Reliant Hospital Partners, HCA, Saint Peter’s Healthcare System, Henry Ford Health System, Cirrus Health, Saint Joseph Healthcare, University General Hospital, MultiCare Health System, Baylor Health Care System, HMA, LifeCare Hospitals, USPI, CHRISTUS Spohn Health System, CHS, Kutak Rock, LLP, HealthSouth, Emerus, BayCare Health System, Shore Medical Center, Butler, Snow, O’Mara, Stevens & Cannada, PLLC, 21st Century Oncology, Citrus County Hospital, Jones Day and Hunton & Williams, LLP.

Jonathan Helm is a Managing Director in the Compensation Division at VMG Health and is based in the Dallas office. He specializes in the valuation of complex contractual arrangements with a focus in provider compensation and management agreements.

His experience includes valuations related to administrative and management agreements, call and clinical coverage, medical directorships, clinical co-management, billing/collection, and ancillary services agreements (laboratory, radiation oncology, and imaging). Clients include for-profit and not-for-profit health systems, publicly owned and privately held healthcare operators, and private equity firms.

Helm also has experience providing valuation services for transactional and financial reporting purposes. Business entities valued include acute-care hospitals, rehabilitation hospitals, surgical hospitals, ambulatory surgical centers, diagnostic imaging centers, single and multi-specialty physician practices, and cancer treatment centers, among others.

Helm 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.

Helm holds a Bachelor of Business Administration in Financial Consulting from Southern Methodist University. He also holds a Master of Business Administration in Finance from the University of Texas at Dallas. He is designated as a Certified Valuation Analyst (CVA) through the National Association of Certified Valuators and Analysts.

Nick Shannon is a Managing Director with VMG Health in the Capital Asset Valuation Division. He has extensive experience providing capital asset valuation services, and consulting for domestic and international financial and tax reporting, mergers, acquisitions, divestitures, lease transactions, and other purposes. Shannon has served clients across many different industries including healthcare and life sciences, consumer and industrial manufacturing, aerospace and defense, oil and gas, semiconductor manufacturing, and others.

Healthcare clients served by Shannon have included valuation engagements for hospitals, ambulatory surgery centers, imaging and radiology, oncology, medical transport, physician practices, and many more. In addition, he has performed valuation engagements for life sciences clients including pharmaceutical companies, manufacturers of certified reference standards and materials, and biomanufacturing testing companies.

Prior to joining VMG Health, Shannon was a Manager for Deloitte Financial Advisory Services in the engineering, construction and consulting group. The group was responsible for managing and performing tangible asset valuation engagements and collaborating on domestic and international projects across various audit, tax, consulting, and valuation service lines. Prior to joining Deloitte, Shannon was an associate for American Appraisal in the Industrial Valuation Group responsible for performing tangible asset valuation engagements for the energy and chemical industries in support of financial reporting and property tax purposes.

Shannon graduated with a Bachelor of Science in Industrial Distribution from the college of engineering at Texas A&M University. He is an Accredited Senior Appraiser (ASA) with the American Society of Appraisers.

Pam D’Apuzzo is a Managing Director at VMG Health leading the Coding, Compliance and Operational Excellence Management service line. She is a recognized leader and industry expert in the area of coding and compliance. Pam’s 30-plus years of healthcare consulting experience spans academic medical centers, community hospitals, faculty practice plans and large private practices.

A trusted adviser to New York’s leading healthcare institutions, she conducts educational and training seminars and provides comprehensive compliance programs. Pam also has a successful record of practice management services including operational and billing review, practice assessment, practice start-up assistance and EMR implementation.

Pam is a frequent speaker at conferences sponsored by the American Academy of Professional Coders (AAPC), Healthcare Financial Management Association (HFMA), New York State Society of Physician Assistants (NYSSPA), Suffolk County Medical Society (SCMS) and American Association of Gynecologic Laparoscopists (AAGL).

Kevin McDonough is a Managing Director at VMG Health and is based out of the Dallas office. During his tenure at VMG Health, McDonough has provided valuation, transaction advisory, feasibility, and operational consulting services to the firm’s healthcare clients.

His clients include acute care hospitals and health systems, ambulatory surgery centers, surgical hospitals, oncology centers, diagnostic imaging centers, dialysis centers, inpatient and outpatient post-acute care operators, physician groups, health plans and risk bearing organizations, and numerous other ancillary healthcare service businesses. In addition, McDonough helps to lead the firm’s life sciences practice providing valuation services related to many forms of medical device and pharmaceutical consulting arrangements. Finally, he has served as a consultant in the formation and development of numerous physician-hospital joint venture initiatives.

McDonough graduated cum laude and holds a bachelor’s degree in finance from the McCombs School of Business at The University of Texas at Austin. Additionally, McDonough is a Chartered Financial Analyst (CFA). He is a member of the CFA Institute, CFA Society of Dallas-Fort Worth, Ambulatory Surgery Center Association, American Society of Appraisers (ASA), Healthcare Financial Management Association, and the Physician Hospitals of America (PHA).

Victor H. McConnell is a Managing Director in VMG Health’s Real Estate Services division and is based in the Denver office.  He has real property valuation & consulting experience in 42 of the United States, including extensive experience with the valuation of healthcare related properties.

McConnell has provided Fair Market Value and Fair Market Rent analyses to a variety of hospitals, physician groups, for-profit and non-profit health systems, as well as corporate and governmental clients.  McConnell has also provided appraisals and valuation-related consulting services to REITs, lenders, and private equity firms to assist with risk assessment and due diligence. In addition, he has experience with issuing commercial reasonableness opinions and is well versed in the regulatory nuances specific to the healthcare real estate sector. Consulting services performed by McConnell include constructing frameworks to assist with leasing compliance programs as well as profits distribution between equity partners in new developments.

Specific property types McConnell has analyzed include acute care hospitals, cancer clinics, on and off campus medical office buildings (MOBs), ambulatory surgery centers (ASCs), diagnostic imaging centers, dialysis facilities, proton therapy centers, sleep labs, cath labs, seniors housing projects, low-income housing tax credit (LIHTC) projects, independent living facilities (ILFs), assisted living facilities (ALFs), skilled nursing facilities (SNFs), continuing care retirement communities (CCRCs), biomanufacturing facilities, surgical hospitals, micro-hospitals, rehab hospitals (IRFs), long term acute care hospitals (LTACHs), psychiatric facilities, hospice wings, laboratories, physical therapy clinics, and drugstores. McConnell’s valuation experience also includes “zero cash flow” properties, corporate headquarters, and a variety of other commercial assets.

McConnell graduated from Dartmouth College in 2004 and began his valuation career with a boutique commercial real estate firm in 2006.  He has an MAI designation from the Appraisal Institute, an ASA designation from the American Society of Appraisers, and a CRE designation from the Counselors of Real Estate.

McConnell presents regularly at healthcare real estate industry conferences, and was selected as an Emerging Leader in Healthcare Real Estate in November 2015 by Globe Street. He has published in venues such as AHLA, ABA, and Becker’s Hospital Review. Clients served include six of the ten largest for-profit health systems and seven of the 15 largest non-profit health systems.

Carlos Flores-Rodriguez is a Director in the Capital Asset Services division at VMG Health and is based in the Dallas office. Flores-Rodriguez has experience in providing asset valuations related to financial reporting, purchase price allocation, normal useful life studies, and equipment lease and timeshare arrangements. Healthcare clients served by Flores-Rodriguez have included ambulatory surgery centers, imaging centers, acute care hospitals, cardiac cath labs, sleep labs, and pharmacies.

Flores-Rodriguez graduated magna cum laude from Suffolk University as a Griffin Honor student with a Bachelor of Business Administration in Finance and Information Systems/Operation Management, with honors in finance. Flores-Rodriguez is an Accredited Senior Appraiser (ASA) with the American Society of Appraisers.

Debra Rossi is a Director in the Coding, Compliance, and Operational Excellence division. She has over 30 years of healthcare revenue cycle and coding experience spanning academic medical centers, community hospitals, faculty practice plans, and large private practices. She has consulting experience in all areas of practice management and is a recognized industry expert in the area of coding, compliance, and revenue cycle.

Rossi conducts educational and training seminars and has overseen comprehensive coding and compliance programs at several of New York’s leading healthcare institutions. She also has a successful record with development and implementation of revenue integrity programs, denial management, and risk adjustment (HCC coding).

Rossi is the recipient of the 2016 Health Ethics Trust Best Practice Award. She is also a co-inventor of a patent pending, award winning coding tool focused on risk diagnosis coding identification and improvement.

Sector Experience

Ambulatory Surgery Centers
Behavioral Health
Imaging & Radiology
Physician Practices
Risk-Bearing Organizations & Health Plans
Post-Acute Care
Urgent Care & Freestanding EDs

Areas of Expertise

Fair Market Value Opinions
Fairness Opinions
Managed Care
Value-Based Care