ASC valuation · Selling
ASC Valuation for Selling in California
Hospital systems, PE platforms, and national operators all want California ASCs. Know what yours is worth to each of them — before any of them calls.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Different Buyers, Different Math
A hospital system buying your center prices network capture and outpatient migration. A PE-backed operator prices platform synergies and management fee streams. A physician group prices case capacity. The same surgery center can carry three meaningfully different values depending on who's buying — and a seller who only knows one number negotiates blind. Our sell-side ASC valuations establish your defensible fair market value baseline, then frame how each buyer category will adjust from it.
What We Normalize Before Anyone Multiplies
- Out-of-network revenue restated to sustainable in-network economics — buyers will not pay full multiples on reimbursement they expect to lose at close.
- Physician concentration quantified case-by-case: who produces the volume, how old they are, what binds them post-sale.
- Related-party arrangements — facility leases, management fees, anesthesia agreements — restated to market.
- One-time items — equipment write-offs, legal settlements, pandemic distortions — removed from the earnings base.
The result is normalized distributable cash flow, valued under the asset, market, and income approaches and reconciled into a certified conclusion.
Control Changes Everything
Selling 100%? A majority stake to a strategic partner while physicians retain equity? A minority recapitalization? Each is a different valuation subject. Controlling interests command premiums; retained minority positions need protective terms priced in. We value the actual interest being sold under the actual proposed structure — including the stock-versus-asset purchase question, which can swing your after-tax proceeds materially.
From Valuation to Exit
The valuation is step one of our ASC sell-side advisory process: certified value → confidential marketing to qualified hospital, PE, operator, and physician-group buyers → negotiation and exit structuring. Selling a practice rather than a facility? See practice valuation for selling.
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.
Fielding interest in your center?
Get an independent value before you respond to any LOI.
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
Especially then. Unsolicited buyers price for their own benefit, and an LOI with exclusivity ends your leverage. An independent valuation, even at the hourly consulting tier, tells you whether the offer is a starting point or a closing one.
Intensely. OON earnings get discounted or excluded in diligence. We model your in-network-equivalent earnings up front so you negotiate from credible numbers instead of defending inflated ones.
Directly — concentration plus retirement horizon is the first risk buyers underwrite. Mitigations like recruitment pipelines, employment commitments, or earnout structures can preserve value; the appraisal quantifies the exposure so the deal can address it.
It depends on your age, income needs, and appetite for a second bite at the apple. Majority recaps let physicians monetize now and share future upside; full sales maximize certainty. We model both against your valuation so the choice is informed.
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.
Your Center Took Decades to Build. Price It Like It.
Certified ASC valuation and sell-side advisory under one roof.
All inquiries are kept strictly confidential.