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This premierTri-State medical portfolio features 10 to 11 fully equipped, prime-location surgical centers ranging from 6,000 to 15,000 square feet. Combined each state locations generate between... Businesses Franchises Brokers Loading... High-Volume NY/NJ Surgical Centers with $200M+ Annual Revenue New York County, NY Asking Price:$400,000,000 Cash Flow (SDE):$55,000,000 EBITDA:Not Disclosed Gross Revenue:$225,000,000 Established:2010 High-Volume NY/NJ Surgical Centers with $200M+ Annual Revenue Business Description ( Profitable medical surgery centre business with great growth potential!) This premierTri-State medical portfolio features 10 to 11 fully equipped, prime-location surgical centers ranging from 6,000 to 15,000 square feet. Combined each state locations generate between $100.00 million & $130.00 million in gross revenue, yielding a strong combined cash flow of $55.00 million. The business is entirely turn key, operating with an established executive management team, specialized surgeons, and complete on-site clinical staff. After two decades of successful ownership, the highly motivated founder is selling to transition into retirement. PLEASE NOTE: In order to show the location potential buyers will sign NDA with Photo ID and valid Proof of Funds. No co-brokering.pleaseDo not miss this great opportunity!!Please call to discuss ........................(732) 896-1037xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxWe are always in search of quality businesses for our buyers. If you're a business owner thinking of selling your business, please email or contact us : teddminbb@gmail.com, please contact Teddmin@ 1-732-896-1037. Ad#:2533533 Detailed Information Employees: 110 (75 Full-time, 35 Part-time) Facilities: Assets include fully equipped surgical centres, all valued staff and medical professionals. Growth & Expansion: Enormous growth potential for a potential buyers, Increase by utilizing the advertising media to grow sales. Support & Training: Sellers will provide complete knowledge transfer to the new buyers, management already in place to handle the business operations. Reason for Selling: Retiring Business Website: https://www.bizbuysell.com/brokers/Listings/ Business Location Location: New York County, NY Financial Benchmarks for New York Medical Practices Gross Revenue Benchmarks Cash Flow (SDE) Benchmarks EBITDA Benchmarks BizBuySell EDGE Demographic Information for New York County Area Household Income Population Age Population Trend Population by Race/Ethnicity BizBuySell EDGE Listing Statistics Saved This Listing Listing Last Updated Appeared in Search Listing Detail Views BizBuySell EDGE Know the True Market Value Before You Make an Offer Get valuation data to negotiate with confidence. Get a Valuation Report Business Listed By: Sanjay Gupta Tedd Min LLC View My Listings Phone Number 848-600-6566 Voice only (no SMS) Ad#:2533533 The information in this listing has been provided by the business seller or representative stated above. BizBuySell has no stake in the sale of this business, has not independently verified any of the information about the business, and assumes no responsibility for its accuracy or completeness. Read BizBuySell's Terms of Use before responding to any ad. Learn how to avoid scams. Contact Form Full Name* Enter a valid Full Name Phone Number* Enter Phone Number Email Address* Enter Email Address Zip Code Amount to Invest Purchase Timeframe 1-3 Months 3-6 Months 6+ Months Optional Message Yes, send me the Buyer Newsletter for popular businesses, tips, & email promotions. Show sellers you’re serious - learn about BizBuySell Edge for premium buyer tools & alerts Send Message By clicking the button, you agree to BizBuySell’s Terms of Use and Privacy Notice Business Listed By: Sanjay K. Gupta Tedd Min LLC View My Listings Phone Number 848-600-6566 Voice only (no SMS) Your request has been sent. What Happens Next? is reviewing your details. A representative will reach out soon to discuss your options. Expect a response in 1-2 business days. 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Why we like it
- Ambulatory surgical centers throw off genuinely durable, high-margin cash flow because payers and patients both favor outpatient procedures over hospital settings. A reported $55 million of cash flow on $225 million of revenue is a roughly 24 percent margin, which is healthy for multi-site ASCs and suggests real operating leverage if verified.
- The moat here is regulatory and relational: ASC licensing, Certificate of Need where applicable, payer contracts, and surgeon relationships are all hard to replicate and create meaningful switching friction. Ten to eleven established sites with existing surgeon rosters and clinical staff is a defensible footprint that a new entrant cannot simply build overnight.
- The ASC market has a powerful tailwind as CMS and commercial payers keep expanding the list of procedures approved for outpatient settings and steering volume out of hospitals to cut cost. Consolidators, health systems, and private equity are paying premium multiples for scaled multi-site ASC platforms, so an exit at institutional pricing is plausible.
- A management team is already in place, so a financial or strategic buyer can step in without the founder-dependency risk that kills most small healthcare deals. That existing infrastructure plus a retiring, motivated seller creates a clean platform for either a hold-and-optimize strategy or a bolt-on roll-up thesis.
How to improve it
- Renegotiate and optimize the payer contract mix in the first 90 days by benchmarking reimbursement rates across sites and pushing underperforming centers toward the best-contracted terms. Even a few points of rate improvement on $225 million of revenue drops directly to cash flow and materially changes the return math.
- Standardize case scheduling and block utilization across all 10-11 centers to lift procedures per operating room per day. Underused OR time is the single biggest hidden margin lever in ASCs, and centralizing scheduling can raise throughput without adding a dollar of fixed cost.
- Recruit and add surgeon partners or expand specialty lines at the higher-square-footage locations to increase case volume. The listing itself flags advertising and growth potential, but surgeon supply, not marketing, is the real constraint on ASC revenue, so physician recruitment should be the priority.
- Implement portfolio-wide supply chain and implant purchasing at scale to compress the cost of goods on high-ticket procedures like orthopedics. A single group purchasing arrangement across all sites can capture volume discounts that individual centers cannot.
- Build a rigorous revenue cycle and coding function to reduce denials and accelerate collections. In a business this size, tightening days sales outstanding and cutting write-offs by even a small percentage frees up meaningful working capital and lifts realized margin.
- Pursue tuck-in acquisitions of smaller single-site surgical centers in the same metro to add volume onto the existing G&A base. The platform is already built, so each bolt-on can be integrated at incremental cost and immediately accretive multiples.
Diligence notes
- Verify the $55 million cash flow and $225 million revenue against audited financials, tax returns, and site-level P&Ls, because the listing is vague and rounds every figure. A nine-figure ask on unverified, evenly-split revenue claims demands quality-of-earnings work before any letter of intent.
- Scrutinize the surgeon and referral relationships for compliance with Stark Law, the Anti-Kickback Statute, and state self-referral rules, since physician ownership and referral arrangements are the primary legal risk in ASCs. Any improper arrangement can void reimbursement and create massive successor liability.
- Examine payer contract concentration, terms, and renewal dates, along with the mix of commercial versus Medicare/Medicaid volume. A portfolio dependent on a few commercial contracts or out-of-network billing strategies carries reimbursement risk that could impair cash flow post-close.
- Confirm state licensing, accreditation, and any Certificate of Need requirements for each of the 10-11 sites, plus whether they transfer cleanly on a change of ownership. ASC licenses do not always convey automatically and re-credentialing delays can interrupt revenue.
- Clarify the real estate arrangement at each location, since the listing mentions prime-location facilities but not whether leases are market-rate, long-dated, or tied to the seller. Above-market related-party leases or short remaining terms could quietly erode the reported margin.
- Assess the credibility of the broker and the deal itself, given the informal listing quality, gmail contact, and the mismatch between a BizBuySell format and a $400 million ask. Confirm the seller is real, motivated, and that the portfolio is one coordinated entity rather than a loosely assembled group before committing diligence resources.
Source
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