Alé Dalton advises ambulatory surgery center owners, operators, health systems, and investors on the full lifecycle of ASC transactions and operations. Her practice combines extensive transactional experience with deep industry knowledge, enabling clients to work with a single trusted advisor across acquisitions, joint ventures, development projects, restructurings, and day-to-day operational matters.
Alé regularly represents clients in transactions involving single- and multi-specialty ambulatory surgery centers and other surgical outpatient facilities nationwide, including buy-side and sell-side acquisitions, divestitures, physician alignment transactions, management arrangements, recapitalizations, and strategic joint ventures among national ASC platforms, regional health systems, investors, and physicians. Clients particularly value her ability to integrate regulatory, licensing, enrollment, and operational considerations into transaction strategy from the outset.
Beyond M&A, Alé counsels clients on the practical realities of ASC ownership and operations, including state licensure, enrollment and change of ownership matters, accreditation, governance, contracting, professional services arrangements, and compliance. She has deep experience advising clients through operational transitions, including turnarounds of underperforming ASCs, restructurings, and facility closures, as well as the regulatory, licensing, enrollment, and operational complexities involved in transitioning or winding down ASC operations.
Alé is recognized for her experience advising on hospital outpatient department (HOPD) conversions to freestanding ambulatory surgery centers. She guides clients through the strategic, regulatory, and operational considerations involved in transitioning services to the ASC setting, including structuring transactions, managing physician participation, overseeing facility licensure and Medicare certification and enrollment, operational transition planning, and negotiating management arrangements among health systems, physicians, and ASC operators.
Alé also represents clients in de novo ASC development projects from initial planning through the facility's first-patient date, advising on development agreements, governance, investor syndication, and management arrangements. She navigates the complex sequencing of licensure timelines, Medicare certification and enrollment, construction and readiness milestones, and the legal and operational workstreams required to bring a new ASC to market.
With a thorough command of both transaction mechanics and the operational realities of ASCs, clients rely on Alé to identify issues early, align stakeholders efficiently, and position facilities for long-term success.