You maximize the total value of your ASC assets by:

1. Selling your real estate first while you still have 100% control of your lease and can adjust the terms and the rent to make the real estate attractive to multiple competitive buyers;

2. Setting the rent at fair market value so as to maximize the value of the real estate and attract the most buyers. [Note: Your real estate will Sell for a much higher multiple than your ASC business so the goal is to maximize rent to increase value], and

3. Engage an expert to create an offering memorandum for your ASC business and solicit competitive partnership proposals from ASC management and private equity companies.

Here's the math: Medical real estate today sells at 14x rent, while practices sell at 7X-10X EBITDA. By optimizing your rent structure, you can increase your total asset value. We'll show you exactly how this works for your specific situation.

Five to ten years before you plan to retire. Here's why: Your ASC value is highest when you can offer buyers a longer timeline of stable returns. Waiting until near retirement typically means more risk for the buyers, fewer interested buyers and lower offers. Many physicians miss their optimal selling window by waiting too long to start planning.

The annual increase in rent represents only a 2-3% annual return. By comparison, selling now - when you can offer buyers a longer lease term - would net you a maximum sales price and the ability to invest in significantly higher yielding investments while eliminating the ordinary income tax you are most likely paying on rent received. Your property value is highest when you can demonstrate long-term income stability. Most buyers want 10+ years of guaranteed income.  Selling closer to retirement typically results in fewer interested buyers and lower offers. We've seen this difference amount to millions in lost value for physicians who waited too long. The key is timing your sale when you can still offer the longer time horizon that buyers require.