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

We work with buyers and sellers in three main areas:

Selling Surgery Centers, Endoscopy center and ASC brokerage: Physician owners that have an interest in selling part of or all of their outpatient surgery center or endoscopy center, we work to help you understand the value drivers from the eyes of the potential buyers, we work with you to maximize the value and 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 is the process by which we recruit physicians that will do procedures in your surgery center. When we refer to physician recruitment we are not recruiting that physician to invest in the surgery center -at least not until we have established a substantial relationship with them-we want them to use the surgery center for their cases. We are headhunters in the purest sense. We actually got our start by recruiting in our niche markets.

Syndication is a 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. It simply refers to a private securities offering of ownership interest (where as most of the time, the State securities laws are implicated and sometimes the Federal Securities laws) in a healthcare company. You run across this term most often in the selling ownership interest in the surgery center business but you can syndicate just about any kind of healthcare company-surgery centers, medical office building, and medical equipment company and so on. Syndication typically takes the form of a sale of limited liability company units or limited partnership interest although they can also involve the sale of shares in a corporation.

Third party intermediaries involved in advising on or otherwise facilitating 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.

Access to the capital markets and capital structure consulting: Capital structure refers to the mix of debt and equity financing in an outpatient surgical 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 bankers, 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.