ASC valuation · SBA Loan
ASC Valuation for SBA Loans in California
Financing surgery center units or an acquisition with an SBA loan? The lender's appraisal requirement is where many ASC deals stall — ours don't.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
ASC Deals Stress-Test Generic SBA Appraisers
SBA lenders must obtain an independent valuation for financed business acquisitions and partner buyouts — and surgery centers are where volume-shop appraisers struggle most. Distribution waterfalls instead of salaries, out-of-network revenue that won't persist, physician concentration that dwarfs any single-customer risk a generalist has seen, and partial-interest purchases governed by operating agreements: each is a place a templated appraisal goes wrong, and a wrong appraisal stalls underwriting or kills the loan. Nechay Advisors delivers SBA-compliant ASC valuations grounded in real surgery center economics — credentialed (CVA), USPAP-compliant, and accepted by lenders.
Common Financed ASC Transactions We Value
- Surgeon buy-ins — a new partner financing the purchase of units; we value the specific minority interest under the operating agreement's actual terms.
- Partner buyout refinancing — remaining owners borrowing to redeem a departing partner.
- Whole-center acquisitions — physician groups acquiring a center, where enterprise value, working capital, and structure all feed the credit file.
Built for the Underwriter's Questions
Our reports anticipate what credit committees ask about ASCs: How durable is the payer mix? What happens to cash flow if the senior surgeon retires? Is the OON revenue sustainable? Why is the minority discount what it is? Each answer is documented in the report — and we respond to underwriter follow-ups directly, which is frequently the difference between a file that moves and one that sits. Typical turnaround: 1–2 weeks from complete documents. Financing a practice purchase instead? See practice valuation for SBA loans.
A clear, three-step process
- 1
Discovery Call
A confidential conversation about your surgery center, the interest being valued, your timeline, and the purpose of the valuation. We scope the right report tier before you commit to anything.
- 2
Financial Analysis & Interviews
We interview ownership and normalize the earnings base. Out-of-network revenue and related-party facility, management, and anesthesia arrangements all get restated. Typical turnaround: 1–2 weeks.
- 3
Certified Opinion of Value
You receive a defensible, USPAP-compliant conclusion of value for the specific interest being valued, whether controlling or minority. We walk you through it line by line, and the report is documented to withstand scrutiny from a buyer, a court, a partner, or a lender.
Buy-in financing waiting on an appraisal?
ASC-fluent SBA valuations, delivered on the lender's clock.
Trusted by physicians across California
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
Frequently asked questions
Frequently yes, structured as a partner buy-in or buyout under program rules — your lender determines eligibility. Our role is the independent valuation of the interest, including the control and marketability characteristics the loan structure has to live with.
We normalize the distribution history — adjusting one-time items, OON anomalies, and case mix shifts — and present sustainable distributable cash flow with sensitivity analysis. Lenders underwrite the conservative case; our reports give them one they can document.
Yes. We review the existing appraisal for ASC-specific errors — mishandled OON revenue, unsupported discounts, salary-model normalization applied to a distribution entity — and provide either a rebuttal memo or a full replacement appraisal with lender approval.
Yes. Valuation engagements are handled remotely from our California office. We work from your financials, interview you by phone or video, and send you the finished report. We have completed valuations in more than 35 states, and an on-site visit can be arranged when an engagement calls for it. Very few appraisers anywhere focus on ambulatory surgery centers, so working with an ASC specialist remotely often serves you better than hiring a generalist nearby.
Get the Appraisal That Keeps Underwriting Moving
CVA-certified, USPAP-compliant, ASC-specific.
All inquiries are kept strictly confidential.