When & How an Older Physician Should Sell Their ASC Operations
Sell at the Right Time — Not at Retirement
The highest financial return comes when a surgeon sells while still clinically active — not after they exit. Buyers pay more when volume continuity is secure.
Why Selling Earlier Creates Stronger Value
• Capture peak valuation
• Reduce personal financial risk
• Create a transition plan that supports long‑term success
When Should Older Physicians Sell?
5–10 years before retirement — Optimal
3–5 years before retirement — Strong if a transition plan exists
1–3 years before retirement — Value discounted unless continuity is guaranteed
At retirement — Lowest valuation
How to Structure the Ideal Late‑Career Sale
• Sell majority now, retain minority ownership
• Commit to 2–5 more years clinically
• Step down gradually rather than exiting abruptly
• Recruit or transition younger surgeons
What Selling Does Not Mean
Selling does NOT require giving up clinical autonomy, professional identity, or control over patient care. Most physicians continue operating, receiving distributions, and guiding culture.
The Bottom Line
Sell majority today → keep minority stake → work 2–5 years → retire with a second payout. This approach maximizes liquidity, preserves legacy, and protects ASC long‑term value.
Interested in Exploring Your Options?
Confidential discussions available for ASC partners evaluating timing and transition strategy.
The right guidance can help you unlock capital while ensuring your control of your ASC business and property. Physicians can obtain more information about valuation and sales of ASC businesses and real estate by contacting Jon Vick ([email protected]), founder of ASCs Inc., at 760-291-7745 or Jason Winokur ([email protected].