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the valuation question is a is a very important one one thatamp;#39;s wrapped up in many sub issues certainly thereamp;#39;s the calculation of a purchase price the the question which i take it is at the heart of what youamp;#39;ve youamp;#39;ve asked however as iamp;#39;ll elaborate on in a moment itamp;#39;s only a a part of a of a larger set of issues first many physician owners think that valuation is some sort of rote multiple of earnings generally expressed as ebitda but the reality is that thatamp;#39;s only true if the person doing the valuation has no real clue about what it means to actually own and operate a surgery center as opposed to viewing it as a as a sort of factory inhabited by worker bees surgeons they consider to be spreadsheets and scrubs sure and earnings multiple approach to economic return is an element of valuation but so too are many other factors such as whether the facility is single specialty focused and if so what specialty or whether itam
