Michael T. Caracci and Cindy W. Caracci, et al. - Page 53




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          little chance of turning a profit.  In fact, Hahn’s 1997 article            
          states that “Analysis of recent VNA [i.e. traditional visiting              
          nursing agency] transactions indicates that companies with                  
          operating losses have transacted at multiples of revenue similar            
          to agencies with operating profits.”  Id. at 3.                             
               Accordingly, we conclude that the sale price we have decided           
          more accurately reflects the fair market value of the Sta-Home              
          tax-exempt entities than does that of Hahn.  We note that our               
          valuation of $18,675,000 indicates that the Sta-Home tax-exempt             
          entities would sell at a price-to-revenue multiple of .42, lower            
          than the .68 median applicable to Hahn’s comparable home health             
          care agencies.  Our finding also indicates that the ratio of                
          price to book value would be 1.75, which again is less than the             
          1.90 median for the same comparable companies.                              
               In reaching this value, we have also considered, but                   
          rejected, petitioners’ arguments that conditions in Mississippi             
          require a finding that the assets of the Sta-Home tax-exempt                
          entities were worth less than the liabilities assumed.                      
          Petitioners argue strenuously that the Sta-Home tax-exempt                  
          entities’ operation in Mississippi, a relatively poor and rural             
          State, dramatically reduces their fair market value.  Petitioners           
          do not mention, however, that the Federal per-patient Medicare              
          payment was higher for Mississippi than for any other State.  We            








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