ASC brokerage · Strictly confidential
Sell Your Surgery Center in California
Hospitals, PE platforms, and national operators are competing for California ASCs. We make sure they compete for yours.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
A Seller's Market — for Prepared Sellers
Outpatient migration has made California surgery centers strategic assets: hospital systems need ambulatory footprints, PE-backed operators need platform acquisitions, and physician groups need OR capacity. But strong demand doesn't automatically mean strong outcomes. Centers that go to market with inflated out-of-network earnings, unexamined surgeon concentration, or no independent valuation get repriced in diligence — usually after exclusivity has removed their leverage. Our process is designed to prevent exactly that.
Step One: A Valuation That Anticipates Diligence
Every ASC engagement begins by putting your numbers through the same scrutiny a buyer's diligence team will apply, performed by a Certified Valuation Analyst. We normalize out-of-network revenue to sustainable in-network economics, quantify physician concentration risk, restate related-party leases and management fees to market, and value the actual interest being sold, controlling or otherwise. The result: a price that holds from offer to close.
Step Two: Confidential, Competitive Marketing
We approach the buyer categories that fit your center's profile — hospital systems seeking network capture, ASC operators and private equity seeking platforms or add-ons, physician groups seeking capacity — strictly under NDA. ASC confidentiality is harsher than practice confidentiality: a leak can unsettle the very surgeons whose volume is the asset. Identity and data release are staged, and your physician partners are briefed on the timeline you control.
Step Three: Structure Is Where the Money Is
Two offers with identical headlines can differ by seven figures after structure:
- Stock vs. asset purchase — tax treatment, liability transfer, and contract assignment all diverge; we guide you to the structure that fits your situation best.
- Full sale vs. majority recap — selling 100% maximizes certainty; selling 60–70% to a strategic partner monetizes now while preserving physician upside (the "second bite"). We price both paths against the valuation.
- Earnouts and volume commitments — common where surgeon concentration is high; we negotiate terms tied to things you control.
- Retained-interest protections — distribution policy, governance rights, and exit mechanics for any equity physicians keep.
Special Situations We Handle
Centers with CON or licensure complexities, partnerships where only some physicians want to sell, centers mid-transition from OON to in-network, and single-specialty centers facing a retiring-anchor-surgeon problem. Each has a playbook; none should be improvised. Start with the ASC valuation if you want the number before the process — or see practice brokerage for the clinic side of your operations.
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.
Already holding an unsolicited offer?
Before you sign exclusivity, find out what a competitive process would change.
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
Hospitals typically buy control for network strategy and may restructure operations toward hospital economics; PE operators buy growth and usually want physicians retaining equity and producing volume. Price, autonomy, and your post-sale role differ substantially — running both buyer types in parallel is how you learn which trade-offs are real.
Often, yes. Majority recapitalizations, partial redemptions funded at close, and staged buyouts can let exiting partners monetize while continuing partners retain equity. The operating agreement’s transfer and drag/tag provisions determine the available paths — we map them early.
They’ll underwrite your earnings as if the OON book converts to in-network rates — and price accordingly. We present in-network-equivalent earnings from the start, which paradoxically increases buyer confidence and final value: nothing kills a premium like diligence discovering the seller’s numbers were soft.
Optional, and increasingly sellers keep it: a market-rate lease to the buyer turns the building into long-term income. We coordinate the business sale with your real estate strategy either way; the valuation separates the two cleanly.
Concentrated bursts: initial interviews during valuation, management presentations for finalists, and diligence responses we largely quarterback. Surgeons keep operating; we keep the process from invading the OR schedule.
A commission is paid at closing. Our standard rate is 10%, with a sliding scale on larger transactions. Your exact fee is confirmed in writing before you engage us.
Make the Buyers Compete. Keep the Premium.
CVA-led pricing, confidential marketing, structure-savvy negotiation.
All inquiries are kept strictly confidential.