Sacramento · Northern California
Sell Your Surgery Center in Sacramento
Systems need capital-region OR capacity and operators want growth markets. Your center sits at that intersection.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Growth-Market Pricing for Surgical Assets
ASC buyers pay for two things above all: durable current earnings and credible growth. Sacramento centers can offer both — solid commercial rates on a government-stable payer base, plus expansion runway in a metro adding insured patients faster than surgical capacity. The selling job is converting that combination into competing offers: our valuation documents earnings durability and quantifies growth headroom with evidence; our process then runs UC Davis Health and Sutter-aligned interest, national and regional operators expanding into the region, and physician-group buyers in parallel, confidentially (full process).
Capital-Region Deal Dynamics
- Operators entering, not saturated. National platforms are still building Sacramento density — entry-market acquisitions carry strategic premiums that saturated-market add-ons don't. Timing and positioning capture it.
- System capacity needs are acute. Outpatient migration plus regional growth has systems genuinely short of ambulatory ORs; map-critical centers can run system and operator interest against each other effectively.
- Growth claims need our documentation. "We could add a thousand cases" persuades nobody; activation economics, referral trends, and recruitment evidence persuade everyone. The valuation builds that case before buyers test it.
- Partner alignment, growth-market edition. Younger partner cohorts here often want equity retention in a recap rather than full exits; we structure majority sales and staged buyouts that satisfy both generations.
Execution
Targeted in-person walkthroughs and partner meetings; diligence quarterbacked; regulatory and payer-contract workstreams managed through close — typically two to four months after offer acceptance.
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 growth runway is a buyer's business case.
We document it, price it, and make them compete for it.
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
Potentially a great deal — local monopoly on outpatient surgical capacity in a growth corridor is exactly what map-driven buyers underwrite. The valuation establishes the earnings base; the process prices the strategic position above it.
Arithmetic again: expansion captures value if your timeline and capital allow execution before sale; documented-but-unused headroom lets the buyer pay for upside you didn't have to risk. We model both against your exit horizon.
Both now — nationals building Northern California density and regionals defending it. Two buyer tiers bidding is the competitive tension our process is designed to create.
More in Sacramento and statewide
Sell Where the Market Is Heading
Capital-region ASC exits, valuation-first.
All inquiries are kept strictly confidential.