San Francisco · Northern California
Sell Your Surgery Center in San Francisco
Nobody is building new surgery centers in San Francisco. That fact alone should shape your asking price.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Sell What Can't Be Replicated
A licensed, contracted, operating surgery center in the Bay Area is functionally irreplaceable: buildout costs are prohibitive, suitable real estate is scarce, and licensure-to-operation timelines stretch years. Buyers know this — systems needing ambulatory capacity, operators needing Bay Area presence, and physician groups needing OR access all face a build-versus-buy analysis that overwhelmingly says buy. Our sell-side process prices that scarcity deliberately: a certified valuation that establishes both earnings value and replacement-cost reality, then a confidential process that makes the build-versus-buy math explicit to every buyer at the table (full process).
Bay Area ASC Deal Dynamics
- Premium-rate durability is the diligence battleground. Your commercial rates are the earnings engine; buyers will test contract terms and payer posture hard. We document rate durability before marketing — and where contracts are dated, we flag the renegotiation upside as a value story.
- Succession and recruitment questions arrive early. Buyers underwrite surgeon continuity in a market where recruiting is hard; transition commitments and pipeline evidence defend price.
- Real estate is its own negotiation. Owned facilities in SF carry property value rivaling business value; leased ones live or die on assignability. Both get resolved pre-market.
- System buyers may pay strategic premiums. UCSF's and Sutter's ambulatory strategies make certain centers map-critical; we identify whose map you're on before outreach.
Execution
Targeted in-person walkthroughs and partner meetings; the rest runs remote and secure.
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.
Buyers can't build what you already own.
Price the scarcity. Run the 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
No, but it nets against it: buyers price capex needs into offers. We quantify the refresh requirement in the valuation so it's a negotiated line item, not a diligence ambush.
Structures like that exist — sale with non-compete carve-outs, or partial sales retaining physician governance. Bay Area system buyers are often flexible on structure to win scarce capacity; flexibility is leverage we use.
Income approach rigor plus structurally adjusted comps plus replacement-cost evidence — triangulated and documented. Thin comp markets are exactly where certified methodology beats broker intuition.
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Irreplaceable Assets Deserve Deliberate Exits
Bay Area ASC sales, valuation-first.
All inquiries are kept strictly confidential.