Hourly Consulting
Scoped on your call
A second opinion without commissioning a full valuation. Physicians use it for an independent read on a private equity offer, a partner buy-in, or a purchase they are weighing before signing a letter of intent.
Los Angeles · Southern California
ASC Valuation in Los Angeles
The state's largest surgery center market, from Beverly Hills surgical suites to high-volume multi-specialty centers — valued interest by interest.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Scale Creates Evidence — and Complexity
Los Angeles County's hundreds of surgery centers make it the most transaction-rich ASC market in California: more comps, more operator activity, more buy-ins and redemptions every month. It's also where ASC valuation complexity concentrates — legacy out-of-network centers still transitioning to contracts, cosmetic-surgical centers whose economics ride on a handful of surgeons' brands, high-volume GI and ophthalmic centers with payer concentration, and hospital JV structures layered over physician partnerships. Our ASC methodology — payer mix analysis, concentration risk, control versus minority interest, OON normalization — was built for exactly this terrain.
What We See Most in LA
- Unit transactions at scale. LA centers recruit constantly; FMV-compliant buy-in and redemption valuations are a continuous need we serve on 1–2 week turnarounds.
- OON reckonings. More legacy out-of-network economics persist in LA than anywhere in the state. We restate to sustainable in-network earnings — the number a buyer, court, or partner can actually rely on.
- Cosmetic-center goodwill questions. Beverly Hills and Westside surgical suites often hold value tangled with their surgeons' personal brands; we separate facility value from personal goodwill explicitly.
- Dispute and divorce interests. LA's litigation volume includes plenty of contested ASC stakes — valued at the Detailed Report tier with litigation support behind it.
Engagement Logistics
Facility walkthroughs countywide, operating agreement review before financial analysis, certified conclusions in 1–2 weeks from complete documents. Selling? LA ASC sell-side representation continues from the same analysis.
Three Engagement Tiers, One Standard
We scope the right tier on your discovery call, so you never pay for more report than your purpose requires.
Summary Report
Starting at $4,950
A professionally developed conclusion of value in a streamlined report, grounded in normalized financials and real market data, and prepared in compliance with USPAP. The right fit for exit planning, pricing a sale, or anchoring a partner buy-in. Our most common engagement.
Detailed Report
Starting at $8,950
The gold standard, with full documentation of data, methodology, and assumptions, prepared in compliance with USPAP. Required where the number will be challenged: divorce, shareholder disputes, and gift & estate tax filings.
Valuations by Purpose
The purpose of a valuation changes the standard of value, the report depth, and sometimes the conclusion itself. Choose your situation:
Selling
ASC Valuation for Selling
Know what your surgery center is truly worth before a buyer tells you what they want to pay.
Learn morePartner Buy-In & Buy-Out
ASC Partner Buy-In & Buy-Out Valuation
A fair, independent number both partners can trust, whether buying in or cashing out.
Learn moreDivorce
ASC Valuation for Divorce
Court-ready, USPAP-compliant valuations for marital dissolution involving a surgery center.
Learn moreShareholder Dispute
ASC Valuation for Shareholder Disputes
Independent, litigation-ready valuations when partners disagree about what the ASC is worth.
Learn moreSBA Loan
ASC Valuation for SBA Loans
Lender-ready business valuations that satisfy SBA SOP requirements without slowing your closing.
Learn moreGift & Estate Tax
ASC Gift & Estate Tax Valuation
IRS-defensible valuations for gifting, succession, and estate planning involving ASC interests.
Learn moreA 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.
Unit price due for a recruit or redemption?
FMV-compliant ASC valuations on a two-week 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
Two numbers, honestly presented: historic earnings as they are, and normalized in-network-equivalent earnings — with the valuation concluding on the sustainable base. Buyers price the second number; owners deserve to see both and the bridge between them.
From the operating agreement outward: distribution rights, transfer restrictions, and redemption mechanics define the interest; enterprise value, then documented control and marketability adjustments, price it. LA's transaction density gives us unusually good evidence for those adjustments.
Independent valuation first, before responding substantively. Pre-emptive offers exist to avoid competition; your counter-position is knowing what a competitive process would likely produce.
More in Los Angeles and statewide
ASC Valuation — Statewide Our full California service page Los Angeles Overview All services in Los Angeles Medical Practice Valuation in Los Angeles Certified opinions of value, submarket-calibrated. Sell Your Medical Practice in Los Angeles Confidential processes that put LA's deep buyer pool into actual competition.
LA's ASC Market, Valued With Discipline
From OON normalization to minority discounts — documented.
All inquiries are kept strictly confidential.