

South Carolina CON Repeal Law – Impact on ASC Value Multiples
On May 16, 2023, South Carolina Governor Henry McMaster signed SB 164 into law. SB 164 removes the CON requirements for most health...
Sep 23, 2024


Notable OIG Advisory Opinion: Favorable Toward Employed Physician Bonuses Based on ASC Collections
In October 2023, the Department of Health and Human Services ("HHS") Office of the Inspector General (OIG) issued Advisory Opinion No. 23-07 ("AO") to a multi-specialty physician practice (the "Requestor") with 11 physician employees (the "Physicians"). The Requestor had inquired about the payment of bonuses to its employed physicians based on net profits from procedures performed by the Physicians ("Proposed Arrangement"). The Proposed Arrangement would implement a quarterly
Nov 22, 2023


Anesthesia Valuations: CRH Medical Corporation Acquisition
CRH Medical Corporation announced it was being acquired by Well Health Technologies Corp. on February 8, 2021 for $4 per share, implying...
Mar 5, 2021


ASC Valuations: Tenet's Acquisition of 45 SurgCenter Development ASCs
On December 10th, Tenet Health announced it was purchasing a portfolio of up to 45 ambulatory surgery centers from SurgCenter Development...
Dec 16, 2020


ASC Valuation Multiples: The Impact of Size
Occasionally we'll hear a selling owner of an ambulatory surgery center cite valuations of publicly-traded companies or multiples from recent M&A activity involving large national operators like Surgical Care Affiliates, AmSurg, or Covenant Surgical Partners as support for a 10-12x multiple in a deal for a single facility. While these valuations are not completely unheard of, they're definitely the exception rather than the rule. For example, a newer facility in a great marke
Mar 18, 2019








