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Ambulatory Surgery CenterM&A Activity
Deal flow, active acquirers, and current market trend - based on 154real disclosed M&A transactions in the ambulatory surgery center space. Run the calculator below to price your business at current multiples.
State of Ambulatory Surgery CenterM&A in 2026
The ambulatory surgery center M&A market is tracked across 154 disclosed transactions in the ExitValue.ai database (117 with EBITDA disclosed, 145 with revenue). The current market trend is growing.
Active acquirers include Bain Capital Private Equity, LP, Bain Capital, Ascension Health, Physicians. Recent named transactions: Surgery Partners, Inc. (2025); Surgery Partners (2025); AmSurg (2025).
Premium valuations in ambulatory surgery center are driven by multi-specialty case mix (ortho + gi + pain management commands premium over single-specialty); commercial payer mix above 50% (uspi / sca / hca pay 1-2 turns more for commercial-heavy ascs); surgeon ownership diversified across 5+ partners (kills key-doc concentration risk).
What compresses valuations: single specialty, single dominant surgeon (multiple compresses 30-50%); medicare-heavy mix above 60% (cms rate cuts priced into offer); out-of-network billing dependency (no surprises act + payer pushback).
Source: SEC filings, EDGAR 8-K/S-4, and verified press releases. Run the calculator below to see the specific multiples that apply to your business.
Recent named M&A deals in ambulatory surgery center
Most-recent disclosed transactions. Click any deal for full detail (multiples, financials, source).
Sourced from SEC filings, EDGAR 8-K/S-4, and verified press releases.
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What drives a premium valuation
- ●Multi-specialty case mix (ortho + GI + pain management commands premium over single-specialty)
- ●Commercial payer mix above 50% (USPI / SCA / HCA pay 1-2 turns more for commercial-heavy ASCs)
- ●Surgeon ownership diversified across 5+ partners (kills key-doc concentration risk)
What compresses valuation
- ●Single specialty, single dominant surgeon (multiple compresses 30-50%)
- ●Medicare-heavy mix above 60% (CMS rate cuts priced into offer)
- ●Out-of-network billing dependency (No Surprises Act + payer pushback)
Ambulatory Surgery Center valuation: common questions
How is a ambulatory surgery center business valued?
Ambulatory Surgery Center businesses are valued by benchmarking against comparable completed M&A transactions, then adjusting for the specific business. Owner-operator practices are typically priced on an earnings or seller-discretionary-earnings basis, while businesses at platform scale shift toward institutional earnings-multiple methodology. The ExitValue.ai engine selects the methodology that the comparable deal set actually used and adjusts for margin quality, growth, owner dependency, customer concentration, and recurring-revenue mix.
What drives ambulatory surgery center valuation?
The biggest value levers in ambulatory surgery center are recurring or repeat revenue, owner independence (the business runs without the founder), customer diversification (no single client dominates), a credible growth trajectory, and operating-margin quality relative to the vertical. In this space specifically, buyers pay up for multi-specialty case mix (ortho + gi + pain management commands premium over single-specialty); commercial payer mix above 50% (uspi / sca / hca pay 1-2 turns more for commercial-heavy ascs); surgeon ownership diversified across 5+ partners (kills key-doc concentration risk).
How many ambulatory surgery center M&A deals are tracked?
ExitValue.ai tracks 154 disclosed ambulatory surgery center M&A transactions, 117 with EBITDA disclosed, 145 with revenue disclosed, sourced from SEC filings, EDGAR 8-K/S-4 documents, and verified press releases and refreshed daily. Current market trend: growing.
Who buys ambulatory surgery center businesses?
Ambulatory Surgery Center businesses are acquired by strategic acquirers (larger operators in the same space), and unknown, and private-equity platforms and roll-up consolidators. Recent named acquirers include Bain Capital Private Equity, LP, Bain Capital, Ascension Health, Physicians.
What is my ambulatory surgery center business worth?
Run the ExitValue.ai ambulatory surgery center calculator to see your business priced against the 154 disclosed ambulatory surgery center transactions in the database. The engine applies adjustments for margin, growth, owner dependency, customer concentration, and recurring revenue mix to produce a tight range around the most-likely transaction value.
More on ambulatory surgery center valuations
- Ambulatory Surgery Center valuation calculator· head-term variant
- Who buys ambulatory surgery center businesses?· active buyers
- Recent deal: Advanced Surgery Center· comparable transaction
- Who acquired Advanced Surgery Center?· buyer profile
- How to value a ambulatory surgery center· long-form guide
Methodology details: how ExitValue computes valuation ranges · full ambulatory surgery center calculator