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transactions in the space and then discuss some of the trends that are behind many of the transactions that are occurring today finally Iamp;#39;ll cover the details behind the ASC valuations we perform and highlight some of the unique details particular to ASC valuations and then Iamp;#39;ll open it up for questions first we start out with a short hisorical review of Ambulatory Surgery centers to put our current situation in perspective in the late 1960s inefficiencies and hospital-based surgeries provided the impetus to begin something new the Ambulatory Surgery Center which was focused on a few surgical procedures and provided more physician control over the surgery environment long way to the hospital scheduled surgeries being bumped for emergency procedures and limited physician control over the environment prompted the launch of the ASC during the 1970s and the 1980s the success of this more efficient and lower cost alternative led to tremendous growth and Medicare participatio
