Ambulatory / Outpatient Surgery Centre — Business Valuation Multiple
EBITDA Valuation Guide · Small & Mid-Sized Businesses
Actual EBITDA multiples can vary materially based on EBITDA size, growth, recurring revenue, margins, customer concentration, owner dependence, geography and other company-specific factors.
Min
6×
Typical
8×
Max
11×
Revenue Model
Repeat
Capital Intensity
High
A typical multiple of 8× EBITDA reflects mid-market transactions in the $1–$50M revenue range.
Overview
Ambulatory / Outpatient Surgery Centre businesses may trade across a broad 6×–11× EBITDA range, with a typical multiple around 8×. Valuations are driven by procedure volumes, surgeon diversity, utilisation and payer mix. Businesses with stronger recurring revenue, diversified customers, transferable teams and lower owner dependence generally attract the upper end of the range. Key risks include surgeon concentration, reimbursement, clinical regulation and facility capex.
Key Value Drivers
- Procedure volumes
- Surgeon diversity
- Utilisation and payer mix
- Transferable management and operating systems
Key Risks
- Surgeon concentration
- Reimbursement
- Clinical regulation and facility capex
- Economic and market volatility
Related Industries
Disclaimer: All multiples are indicative estimates only and are not formal valuations or investment advice. They should not be relied upon for financial decision-making without independent professional advice.