San Diego · Southern California
Sell Your Surgery Center in San Diego
Three systems need ambulatory capacity. National operators need San Diego density. Your center is the scarce asset in that equation.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Scarcity Pricing, If You Surface It
San Diego's ASC supply is tighter relative to demand than LA's — a county of 3.3 million with three systems pushing outpatient migration and national operators needing regional scale. Well-run centers here are scarce assets, and scarce assets command premiums when sold through competition. Our process: certified ASC valuation that pre-handles what diligence will probe (payer mix, concentration, any OON legacy, JV terms), then parallel confidential outreach to systems, operators, and physician-group buyers, then structure negotiation modeled after tax (full approach: selling your ASC).
San Diego Deal Particulars
- JV and ROFR sequencing. Many county centers carry hospital partners with first-refusal or consent rights; we design the process around those provisions so they become leverage, not vetoes.
- Ortho/spine and GI appetite. Operator demand concentrates in these lines, and San Diego's demographics feed both; centers with these programs should expect — and we cultivate — multi-operator interest.
- Physician partner alignment. Recaps that cash out senior surgeons while younger partners (often recent San Diego transplants) retain equity are the consent-winning structure here as elsewhere; we build them on the valuation.
- Military-adjacent case flow. Where TRICARE or community-care referrals matter, we document the durability story buyers can't underwrite from generic templates.
Execution
Walkthroughs and partner meetings in person — we're regularly in the county. Diligence through close typically runs two to four months after an accepted offer, with regulatory and payer-contract workstreams quarterbacked.
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 scarcer than you think.
Scarcity prices well — through competition.
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
Negotiate with them, yes — only with them, no. A right of first refusal or a friendly partner prices honestly only when credible alternatives exist. We structure processes that respect the JV relationship while ensuring the offer reflects market, not convenience.
Highly sellable — GI's volume economics make these operator favorites. Concentration risk (few referring gastroenterologists) is the diligence focus, and the valuation quantifies it before buyers stress-test it.
Unprepared sellers: undisclosed OON exposure, stale JV documents, partner disagreement surfacing mid-process, and earnings that don't survive normalization. Every one is preventable with the valuation-first sequence — which is why we insist on it.
More in San Diego and statewide
Sell the Asset Everyone in San Diego Needs
Valuation-first, confidentially competitive.
All inquiries are kept strictly confidential.