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.
Orange County · Southern California
ASC Valuation in Orange County
One of California's densest surgery center markets deserves valuation work that knows it block by block.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
A Dense, Competitive, Heavily Courted ASC Market
Orange County's surgery center landscape is unusually deep: multi-specialty centers in Irvine and Orange, ophthalmic and aesthetic-focused centers along the Newport corridor, and GI and orthopedic centers countywide. Many have hospital joint-venture partners, and many are courted continuously by national operators. That density cuts both ways for owners: more transaction evidence and more buyer appetite, but also more sophisticated counterparties on the other side of every buy-in, redemption, and sale. Our ASC valuation methodology covers payer mix, physician concentration risk, out-of-network exposure, and control versus minority interests. Here, we apply it with home-market context.
OC-Specific Dynamics We Price
- Strong commercial payer base. OC's employer-insured population supports the reimbursement durability that buyers pay premium multiples for, provided contracts are in-network and documented.
- Hospital JV gravity. Hoag, MemorialCare, Providence, and UCI Health all partner in or compete with local ASCs; a center's relationship to system strategy materially affects both its earnings durability and its eventual buyer list.
- Recruitment-driven unit turnover. OC centers recruit aggressively, which means frequent buy-ins and redemptions, often requiring a current, independent valuation of the units at fair market value. This is our most repeated OC engagement.
- Out-of-network legacies. Some legacy OC centers still carry meaningful out-of-network revenue. Buyers discount revenue they doubt will last, so we assess how durable that stream really is, and where the situation calls for it, model the center on in-network economics.
Engagements
Unit buy-ins and partner redemptions; whole-center and majority-interest valuations ahead of a sale; divorce and dispute matters involving ASC interests; lender-required appraisals. In-person facility walkthroughs are standard for OC centers. We're minutes away.
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.
Buy-in, redemption, or offer on the table?
Get the unit value right, independently and locally.
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
Yes. Annual unit valuation refreshes are efficient repeat engagements once our normalization model of your center is built, and they keep every buy-in defensible and current.
An independent valuation before any data leaves your building. Knowing your center's value, controlling and minority, with out-of-network revenue stress-tested, is the difference between a conversation and a concession.
Yes. JV structures add governance and distribution nuances that affect interest-level value; we read the JV agreement as carefully as the financials.
More in Orange County and statewide
ASC Valuation — Statewide Our full California service page Orange County Overview All services in Orange County Medical Practice Valuation in Orange County Certified, USPAP-compliant opinions of value for sales, buy-ins, divorce, disputes, SBA loans, and estate planning. Sell Your Medical Practice in Orange County Valuation-led, confidential sale processes to OC's full buyer universe.
OC's Surgery Centers Are Our Backyard
Certified ASC valuations with a local walkthrough included.
All inquiries are kept strictly confidential.