Los Angeles · Southern California
Sell Your Surgery Center in Los Angeles
Every national operator already covers Los Angeles. The question is whether they bid against each other for your center — or negotiate with you alone.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
The Most Covered ASC Market in the Country
Every national ASC operator, every healthcare PE platform, and every major LA system has Los Angeles on its acquisition map — your center is already on someone's target list. That coverage is only worth a premium if it's converted into competition. Our sell-side process does the converting: a certified valuation that normalizes OON revenue and concentration risk before buyers can weaponize them, confidential parallel outreach across operator, system, and physician-group categories, and structure negotiation — stock versus asset, recap versus full sale, rollover terms — modeled to after-tax reality (full process: selling your ASC).
LA-Specific Sale Dynamics
- Operators know LA pricing cold. National buyers have transacted across this county for two decades; unprepared sellers negotiate against better data. Our valuation levels the information field.
- OON history needs pre-handling. Many LA centers carry out-of-network legacies; buyers discount what they discover and pay for what's already explained. We normalize and narrate before marketing.
- Surgeon-brand centers need careful framing. Westside cosmetic and specialty suites whose volume rides on named surgeons sell on transition structure as much as price — earnouts, employment terms, recruitment plans.
- System interest is corridor-driven. LA systems buy ambulatory capacity where their referral maps demand it; we identify which systems' maps your center completes.
Partnership Realities
LA centers commonly hold many physician partners with divergent goals. Recapitalizations that cash out seniors while mid-career partners roll equity are the most common consent-winning structure — we design them around the valuation, then negotiate them into the deal.
From valuation to close — our three-step process
- 1
Confidential Consultation
A private, no-obligation conversation about your center, the interest you are considering selling (controlling or minority), your timeline, and what a successful exit looks like for you and your physician partners.
- 2
Valuation & Positioning
We value the center for the specific interest being sold: out-of-network revenue normalized to sustainable in-network economics, physician concentration quantified, related-party arrangements restated to market, arriving at an asking price that reflects its fair market value. We then position the center for the buyer types that fit your goals.
- 3
Confidential Marketing & Sale
We market the center confidentially, under NDA, through our buyer network and targeted outreach to hospital systems, ASC operators, private equity platforms, and physician groups. We negotiate competing offers and structure the sale, from asset versus stock purchase to majority recapitalization, earnouts, and retained-interest protections.
Your center is already on acquisition lists.
Decide whether buyers compete for it — or pick it off.
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
Process discipline: blind profiles, NDAs before identity, staged data access tied to demonstrated seriousness, and zero listing exposure. LA's scale actually helps — anonymity survives longer here than in smaller markets when the process is run tight.
No — it's mispitched. Sub-scale for a national platform can be perfect for a regional operator, a system filling a corridor, or a physician group adding capacity. Matching center to buyer category is precisely the work.
Valuation and preparation, then confidential marketing to qualified offers, then two to four months of diligence, regulatory, and payer-contract work to close — most sales run six to twelve months end to end, longer where licensure changes or CHOW processes apply. We map your specific path at engagement.
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Turn Coverage Into Competition
Sell-side ASC representation across Los Angeles.
All inquiries are kept strictly confidential.