Alé Dalton advises ambulatory surgery center (ASC) owners, operators, health systems, and investors on the full lifecycle of ASC transactions and operations. Her practice combines extensive healthcare M&A experience with deep industry knowledge, allowing her to serve as a single trusted advisor across acquisitions, joint ventures, development projects, restructurings, and ongoing operational matters.
Alé regularly represents clients in ASC and outpatient surgical facility transactions nationwide, including buy-side and sell-side acquisitions, divestitures, physician alignment transactions, management arrangements, recapitalizations, and strategic joint ventures involving ASC platforms, health systems, investors, and physician groups. Clients value her ability to integrate regulatory, licensing, enrollment, and operational considerations directly into transaction strategy from the outset.
In addition to her transactional practice, Alé advises on the operational and regulatory frameworks that govern ASC ownership and performance, including state licensure, Medicare enrollment and change of ownership matters, accreditation, governance, contracting, professional services arrangements, and compliance. She frequently guides clients through operational transitions such as ASC restructurings, turnarounds of underperforming facilities, and orderly wind-downs or closures.
In addition to her transactional practice, Alé advises clients on the regulatory and operational considerations that impact ASC transactions and ownership structures, including state licensure, Medicare enrollment and change of ownership matters, accreditation, governance, contracting, professional services arrangements, and compliance. She integrates these issues directly into transaction strategy, helping clients anticipate and resolve regulatory and operational hurdles in connection with acquisitions, joint ventures, and other strategic transactions.
Alé regularly represents clients in complex ASC transactions and transition matters, including hospital outpatient department (HOPD) conversions to freestanding ASCs. Her work includes structuring transactions, managing physician alignment, and coordinating licensure, Medicare certification and enrollment, and operational transition planning among health systems, physicians, and ASC operators.
She also represents clients in de novo ASC development projects, advising from initial structuring and governance design through licensure, construction milestones, Medicare certification and enrollment, and commencement of operations. She counsels on development agreements, investor syndication, and management arrangements, with an emphasis on sequencing and execution through closing and operational readiness.
With a deep command of both ASC transaction mechanics and the regulatory and operational issues that affect deal execution, Alé is known for helping clients identify issues early, align stakeholders efficiently, and successfully close and transition complex ASC transactions.