Orange County · Southern California
Sell Your Surgery Center in Orange County
Systems need OC ambulatory capacity. Operators need OC density. Your center sits exactly where both maps overlap.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Why OC Centers Draw Premium Attention
Orange County combines the three things ASC buyers underwrite: commercially insured volume, surgical specialist density, and systems (Hoag, MemorialCare, Providence, UCI Health) actively building outpatient networks. National operators and PE platforms are here too, and they treat Orange County as a market they need to be in. For owners, the question isn't whether buyers exist; it's which buyer offers the best deal for your center, given its payer mix, specialty profile, and physician bench. Finding that out is exactly what a structured sale process is for. Ours starts with a confidential conversation about your center and what it is worth. From there, we approach hospital, operator, and physician-group buyers in parallel, under NDA throughout (see the full process).
OC Deal Dynamics We Manage
- Partial-partner alignment. OC centers often have eight to twenty physician owners with different ages and goals. Recap structures that cash out near-retirees while mid-career surgeons retain equity are frequently the deal that gets unanimous consent. We price each partner's stake and advise the group as it weighs the options.
- System JV conversations. Sometimes the best buyer is the hospital partner you already have; sometimes their right of first refusal shapes the process. We read the JV and governance documents before outreach, not after.
- Out-of-network revenue. Buyers treat OON revenue as a risk. Some discount it, some reprice it at in-network rates, and some will not pursue it at all. We assess how durable yours is before going to market, so the asking price holds up.
- Anesthesia and ancillary contracts. Related-party anesthesia or management arrangements get restated to market terms upfront, so there are no surprises in due diligence.
Local Execution
Facility walkthroughs, physician-partner meetings, and management presentations handled in person, privately, and after hours when needed.
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.
Operators keep calling about your center?
Find out what a competitive process would produce before you answer one of them.
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
Not necessarily, but it shapes how the sale can be run. ROFR terms vary from one JV agreement to another, and the details matter. We start by reading your agreement, together with your attorney, and plan buyer outreach around what it actually says. Centers with a ROFR do sell; the right just has to be respected in how the process is run.
Especially then. Many center sales start from exactly that split, and a sale does not have to be all or nothing. Partners who want out can sell their full stake while the rest keep their equity, buyouts can be staged over time, and different partners can get different terms. The valuation gives the partnership a shared factual baseline for the debate.
Multiples depend on control, payer mix, specialty diversity, and physician concentration, and the range is wide. The honest answer for your center comes from a valuation, and that is where we start.
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