Celebrating 30 Years - Thanks to Our Valued Clients!
The Advisory Group
The Advisory Group is a family-owned brokerage and consulting firm.
All medical real estate valuations are performed by Ron Young, a Counselor of Real Estate (CRE) with three decades of medical valuation experience. Armed with his detailed, empirical data-supported reports, dozens of healthcare executives have confidently formulated and executed strategic real estate portfolio plans.
Professional real estate valuation services like those offered at The Advisory Group and legal advice are essential for healthcare organizations to maintain Stark Law compliance and protect against costly violations.
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Scroll down to explore our services or click one of the links below to learn more.
Our Services
Fair Market Value Analysis
Specialized Services
OIG litigation support, Lease portfolio management, Site selection,
and Acquisition & disposition valuations.
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Whether expanding or optimizing your current portfolio, we understand that real estate is a tool to support healthcare providers in their mission of delivering quality patient care. Cooperation with compliance officers to achieve consistent methodologies and processes for fair market valuations is imperative.
With over 30 years of experience and over 40 national clients, The Advisory Group can help your team achieve their real estate goals while staying in compliance.
Market Feasibility Studies
Full market feasibility studies for medical properties. ​
Tailored Education & Training
Establish consistent, compliant methodologies and processes for Real Estate team members to reduce risk of Stark Law violations.
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The Advisory Group knows that medical real estate is one part of the bigger picture of delivering patients quality care.
An optimal real estate compliance environment has team members that understand the regulatory environment and risks involved while being empowered to implement consistent processes and methodologies that promote participation and cooperation in compliance.
Our customized in-person or online training equips your Real Estate Team to participate fully in the compliance process.
Completion of training with The Advisory Group results in cheaper and more efficient valuations due to streamlined processes and staff participation in gathering necessary, accurate data.
Frequently Asked Questions
What Is Stark Law Compliance?
The Stark Law prevents healthcare fraud by restricting financial relationships between healthcare providers and entities offering Designated Health Services (DHS). For real estate transactions, this means all rent must be set at Fair Market Value (FMV) through arm's-length negotiations—never based on patient referrals or business volume.
Who Needs Fair Market Value Appraisals?
Healthcare providers and payers
Private practices
Urgent care centers
Retail pharmacies
Non-profit healthcare organizations
Which Transactions Are Subject to Stark Law?
Real estate leases and purchases
Equipment leases
Mergers and acquisitions
Physician service agreements
Practice support payments
Clinical and administrative service contracts
What are the Required Compliance Elements?
Fair Market Value (FMV) Compensation must reflect actual market value in an arm's-length transaction between unrelated parties.
Commercial Reasonableness The arrangement must make business sense without considering patient referrals.
Independence from Referrals Payment cannot be influenced by referral volume or value.
Written Documentation All arrangements must be documented in signed, written agreements with clear terms and duration.
How to Ensure Compliance?
Before Making Any Offer
Develop FMV documentation
Conduct professional market analysis
Perform independent appraisal with qualified real estate professionals
During the Process
Hire independent appraisers for market analysis and valuation reports
Gather comprehensive property data including leases, site plans, and floor plans
Monitor local real estate market conditions
Documentation and Legal Review
Maintain detailed records of all analyses and agreements
Consult with healthcare attorneys specializing in Stark Law
Ensure all documentation demonstrates compliance
What is the Cost of Non-Compliance?
Stark Law violations can result in penalties up to $300 million. Healthcare providers entering new or renewed leases with referral sources must perform market analysis to ensure compliance and avoid these severe financial and legal consequences.