We are pleased to announce the results of HealthCare Appraisers’ 2018 ASC Valuation Survey. Since 2003, HealthCare Appraisers, Inc. has surveyed the ambulatory surgery center (ASC) industry to determine trends in the value and characteristics of ASC ownership interests and management fees charged to ASCs. Fifteen respondents, representing well over 700 surgery centers throughout the country, responded to this year’s survey.

During 2017, our respondents were actively searching for potential acquisitions to grow the number of ASCs under ownership. 13% of respondents have 11-20 ASCs under ownership, and 34% of respondents have 41 or more ASCs under ownership.

Respondents indicated significant levels of acquisition activity in the ASC space, with 40% reporting the acquisition of between one and five centers, 20% reporting the acquisition of between six and 10 centers, and 13% reporting the acquisition of 16 or more centers in 2017. 27% of respondents did not acquire an ASC in 2017.

For 2018, acquisition activity is expected to remain high, as 47% of our respondents plan to purchase between one and five ASCs, 20% plan to purchase between six and ten ASCs, and 14% plan to purchase 11 or more ASCs. 20% of respondents are not planning to purchase over the next 12 months.