How active is Private Equity / PE-Backed Roll-Up in ambulatory surgery center acquisitions?

13 disclosed private equity / pe-backed roll-up acquisitions of ambulatory surgery center businesses analyzed (2 from 2018+). Run the ExitValue.ai calculator to see what this buyer pool would pay for your specific business.

Who are the most active private equity / pe-backed roll-up buyers of ambulatory surgery center businesses?

Top recent acquirers by deal count: Bain Capital (2 deals), Bain Capital Private Equity, LP (2 deals), Surgery Partners, Inc. (2 deals), Welsh, Carson, Anderson & Stowe, L.P. (2 deals), KKR (1 deals), DFW Capital Partners (1 deals).

BUYER POOL ANALYSIS

Selling a Ambulatory Surgery Center to Private Equity / PE-Backed Roll-Up buyers

Private equity firms and PE-backed platform consolidators acquiring for roll-up, add-on, or platform plays. Pricing tends to lead the market for fee-viable scale, with multi-bidder competitive processes above the EBITDA floor.

Quick answers

How many disclosed transactions?: 13 deals total (2 from 2018+), filtered to Private Equity / PE-Backed Roll-Up acquirers of ambulatory surgery center businesses.
Most active buyers: Bain Capital (2) · Bain Capital Private Equity, LP (2) · Surgery Partners, Inc. (2) · Welsh, Carson, Anderson & Stowe, L.P. (2) · KKR (1) · DFW Capital Partners (1)
What would this buyer pool pay for my business?: Run the ExitValue.ai calculator to see your ambulatory surgery center priced against the 13 disclosed private equity / pe-backed roll-up transactions in this segment. The engine surfaces the specific multiples that apply to your size, margin, and growth profile.

Recent disclosed deals

Private Equity / PE-Backed Roll-Up acquisitions of ambulatory surgery center businesses with named target and named acquirer.

Year	Target	Acquirer
2025	Surgery Partners	Bain Capital
2025	Surgery Partners, Inc.	Bain Capital Private Equity, LP
2017	Covenant Surgical Partners, Inc.	KKR
2017	National Surgical Hospitals, Inc.	Surgery Partners, Inc.
2017	Surgery Partners, Inc.	Bain Capital Private Equity, LP
2017	Surgery Partners, Inc.	Bain Capital

What this buyer pool prices for

Private equity acquirers price for scale and roll-up arbitrage. They pay up for businesses that fit a platform thesis - recurring revenue mix above 30%, technician/professional depth, clean financials, and a management layer that survives integration. A ambulatory surgery center that fits the platform thesis prices materially above what an individual buyer would pay because PE is buying a platform piece, not an owner-operated shop.

Methodology note

Deal flow shown reflects disclosed M&A transactions in the ExitValue.ai database, filtered to ambulatory surgery center businesses acquired by private equity / pe-backed roll-up buyers. Deal counts shown reflect deals with disclosed financials only - total transaction count for this buyer pool is typically 2-3x larger. The valuation engine reveals the specific multiples that apply to your business when you run the calculator above. Full methodology

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