Ambulatory Alliances, LLC is a middle-market boutique investment banking, business brokerage and strategic advisory firm. We focus exclusively on ambulatory centers and more specifically radiation oncology and ambulatory surgery center niche markets.

We work with buyers and sellers in three main areas:
Selling Surgery Centers for Peak Price and Terms: Physician owners that have an interest in selling part of or all of their ambulatory surgery center, we work to help you understand the value drivers from the eyes of the potential buyers, then we go into the market place representing you soliciting bid proposals from multiple buyers and multiple buyer types and the negotiate on your behalf. In essence we bid up the price and negotiate terms.
Physician Recruitment and Syndications: Physician recruitment and syndication is the process of organizing into or administering as a syndicate. A Syndicate is an association of people or firms formed to engage in an enterprise or promote a common interest. Syndicating an ASC or radiation therapy center entails the selling of a percentage ownership interest to investors such as physician investors. We are headhunters in the purest sense. We actually got our start by recuriting in our niche markets. Doctors offering units in an ASC or radiation oncology center must comply with certain federal and state securities laws. Third party intermediaries involved in advising on or otherwise facilitate securities offerings – whether through a public offering or private placement are required to be registered with the Securities and Exchange Commission and Licensed through FINRA. We are recruiters that are registered and licensed as required by state and federal law.
Access to the capital markets and capital structure consulting: Capital structure refers to the mix of debt and equity financing in a surgery center. Private debt and equity are raised in the private capital markets such as bank lending, equipment leasing, asset-based lending, factoring, mezzanine and private equity. As a registered and licensed investment banking firm, we work with ASC owners to understand how to best utilize debt and equity to increase their growth rate and maximize earnings as well as act as their intermediary in accessing and negotiating with the capital markets (providers of equity and debt).

Other firms may offer services similar to ours, but the truth is that most of them do not understand your industry. Almost all of the providers are not properly registered with the SEC and licensed by FINRA as required by Section 15(a) of the Securities Exchange Act of 1934 (For more information read: The Truth About Selling Your Ambulatory Surgery Center). At Ambulatory Alliances, we work exclusively in our niche markets. Our team has extensive experience and a thorough understanding of the HealthCare Markets that we work in and are properly registered and licensed.

When Ambulatory Alliances, LLC is part of your team, your odds of attaining the results you seek increase significantly. We know the industry inside and out, and we utilize that knowledge to create competition for your center, thus increasing the probability of a favorable outcome. Our knowledge, aligned with our process and skills, will help you obtain your desired end result.

Ambulatory Alliances works with buyers and sellers on a daily basis, develops in-depth relationships with both, and maintains detailed information on the capabilities and interests of each. In addition to the direct value of its services, Ambulatory Alliances provides an inherent strategic advantage for its clients by acting as an intermediary during transactions. Utilizing Ambulatory Alliances throughout the negotiating process preserves the future relationships between the companies involved and allows the parties to focus on running their businesses with minimal distractions.

Everyone at Ambulatory Alliances is dedicated to making successful matches. Your success is how we measure our own. We solve your problems by finding the right fit for your organization.