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as more consumers move toward higher deductible health plans and become responsible for more out-of-pocket health care expenses patients are increasingly taking advantage of relatively lower costs ambulatory surgery centers this sector is growing both a new centers and joint ventures we are often asked to help our clients with valuations of ASCS involving an acquisition sale or joint venture we were allowing the discounted cash flow method of value ASCs and support our valuation with market multiples extracted from ASC transactions we assess the probable future cash flow potential of the center by reviewing historical financial statements and other relevant data to understand risks related to expected volume revenue per visit and costs associated with providing services when evaluating valuation providers for ambulatory surgery centers you want to make sure they assess patient volume competitive landscape location demographics regulatory environment payer mix and many other valuation d