This technical report outlines the valuation process for ambulatory surgery centers (ASCs), focusing on the use of EBITDA multiples as a primary metric. It explains that a multiple is defined as a company's enterprise value divided by an industry-specific metric, with EBITDA being a common choice due to its representation of cash flow and profitability. The report details how implied multiples are derived from a thorough analysis of an ASC's historical and projected financial performance, rather than simply applying a market multiple to EBITDA. It emphasizes the importance of understanding the specific EBITDA type used in calculations, such as historical, normalized, and projected EBITDA, as these can significantly affect the valuation. The report concludes that while general market ranges for ASC transaction multiples can be beneficial, a detailed assessment of each center's unique circumstances is essential for accurate valuation. Qualified advisors are often engaged to assist in this process.