BUYER POOL ANALYSIS
Selling a Ambulatory Surgery Center to Individual / Owner-Operator buyers
Owner-operators, SBA-financed independent buyers, and smaller management buyouts. Pricing reflects what an individual can finance (typically 10-25% down + SBA 7(a)) and operate hands-on. Below typical PE engagement size.
Quick answers
- What multiple does this buyer pool pay?
- Median EV/EBITDA 4.45x across 8 disclosed deals (P25: 3.97x, P75: 6.15x). Median EV/Revenue 1.05x across 12 deals. Median deal value: $5.41M.
- How many disclosed transactions?
- 12 deals total (12 from 2018+), filtered to Individual / Owner-Operator acquirers of ambulatory surgery center businesses.
- Most active buyers
- Physicians (5) · Individuals (4) · Individual (1) · Various Individuals (1) · Performance Surgical Center (1)
Recent disclosed deals
Individual / Owner-Operator acquisitions of ambulatory surgery center businesses with named target, named acquirer, and disclosed financials.
| Year | Target | Acquirer | EV | EV/EBITDA | EV/Rev |
|---|---|---|---|---|---|
| 2025 | New York Surgery Center Queens | Physicians | $25.0M | 6.5x | 1.50x |
| 2025 | OrthoNY Ambulatory Surgery Center - Albany | Physicians | $15.2M | 4.3x | 1.40x |
| 2024 | Advanced Surgery Center | Physicians | $2.0M | — | 2.20x |
| 2024 | Central New York Eye Center | Individual | $3.2M | 5.1x | 0.70x |
| 2024 | Fifth Avenue Surgery Center | Various Individuals | $35.2M | 9.5x | 1.00x |
| 2023 | Gastroenterology Care, Inc. | Individuals | $3.5M | 66.8x | 1.80x |
What this buyer pool prices for
Individual buyers — owner-operators, SBA-financed independents, smaller management buyouts — price for what they can finance (typically 10-25% down with SBA 7(a) loans up to $5M deal value) and operate hands-on. Multiples are below PE / strategic because the buyer is taking the owner-operator role, not stepping in as institutional capital. Owner-dependency and seasonality matter more here than to a PE buyer.
Methodology note
Multiples shown are computed from disclosed M&A transactions in the ExitValue.ai database, filtered to ambulatory surgery center businesses acquired by individual / owner-operator buyers. EV/EBITDA outliers outside the [0.5x, 60x] band and EV/Revenue outliers outside [0.05x, 25x] are excluded from medians. Where available, post-2018 transactions are weighted; otherwise the all-time sample is used. Deal counts shown reflect deals with disclosed financials only — total transaction count for this buyer pool is typically 2-3x larger. Full methodology
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