Ambulatory Surgical Centers (ASC) Investment Banking

A Proven Partner for Ambulatory Surgical Centers

operating room FOCUS’s Ambulatory Surgical Centers Investment Banking team brings deep transaction experience and sector specific insight to physician owners and management teams. We understand the regulatory, reimbursement, and governance complexities unique to ASCs, as well as how buyers assess physician alignment, case mix, utilization rates, and long-term expansion potential.

Private equity firms and strategic healthcare buyers continue to aggressively invest in ambulatory surgical centers (ASCs) as higher-acuity procedures steadily migrate from hospital settings to lower-cost, outpatient environments. Driven by payer pressure, patient preference, and proven clinical outcomes, ASCs—both single-specialty and multi-specialty and have become highly attractive platforms for scalable growth and operational efficiency.

Our bankers work closely with ASC owners to maximize value through rigorous financial modeling, thoughtful positioning, and a disciplined, confidential marketing process. By creating competitive tension among qualified private equity firms and strategic acquirers, we help surgery center owners achieve premium outcomes while selecting partners aligned with their clinical standards and long-term objectives.

Types of ASCs include:

  • Multi-Specialty ASCs

  • Ophthalmic Surgery Centers

  • Plastic and Reconstructive Surgery Centers

  • Cardiovascular Centers (Office-Based Labs and Hybrid ASCs)

  • Orthopedic and Sports Medicine Surgical Centers

  • ASC Management and Development Companies (MSOs)

  • Endoscopy and Gastroenterology Centers

  • Urological Surgery Centers

  • Hospital-Physician Joint Venture (JV) ASCs

  • Pain Management and Spine Centers

  • Women’s Health and Gynecological Surgical Centers

Services

Our practice concentrates on providing investment banking services to middle market clients:

  • Sell-Side Engagements – to assist owners looking to exit or sell their business with the highest possible return

  • Capital Formation – aiding companies in raising appropriate capital for growth, expansion or recapitalization.

Differentiators

  • Industry Expertise – With backgrounds that include C-level operating and ownership experience in healthcare, as well as relationships with both strategic and financial players, our bankers have a deep understanding of the forces that are shaping the industry.

  • Seasoned Bankers – Our industry group leaders manage every deal from start to finish, giving our clients the advantage of continuity and experience as well advisory support.

  • Process-driven Outcomes – Supported by a strong in-house team, our M&A process has a proven track record of over 130 closed deals in the last 10 years.

HEALTHCARE TEAM

Driving M&A Success

RELATED DEALS

Growth-Driven Strategic Transactions

HEAR FROM OUR CLIENTS

Success Stories From Our Clients

“We enjoyed working with Eric Yetter and Andy Snyder at FOCUS Investment Banking. They did a great job walking our group through the entire process. As physicians, there’s a lot we don’t fully understand about the business world. Eric and Andy were patient and did a great job explaining things to me as they came up throughout the transaction. I highly recommend working with them. Doing this without representation would be both foolish and stressful.”

Richard Strabbing, M.D.,Managing Partner.

Richard Strabbing, M.D.

Managing Partner, Michigan Ear, Nose, Throat and Allergy Specialists