PGP Advises UnaSource Surgery Center in Strategic Partnership with Constitution Surgery Alliance

Disciplined process gave UnaSource's shareholders a full view of their strategic options and secured a partner aligned with the center's surgeon-led model

BOSTON, Nov. 5, 2026 — Physician Growth Partners ("PGP"), a nationally recognized healthcare investment bank exclusively focused on sell-side M&A advisory, recently advised UnaSource Surgery Center ("UnaSource") in its strategic partnership with Constitution Surgery Alliance ("CSA").

Established in 2004, UnaSource is a multispecialty ambulatory surgery center with five operating rooms and a medical staff of 50 surgeons across seven specialties. The center is among just 10 ASCs nationwide to hold Advanced Orthopedic Certification from the Accreditation Association for Ambulatory Health Care for total joint replacement and complex spine surgery.

Dr. Robert Kohen, Orthopedic Surgeon and Shareholder at UnaSource, commented on working with Physician Growth Partners throughout the transaction process: "The PGP team brought deep industry knowledge, sound strategic guidance, and a genuine understanding of our goals as physician shareholders. They ran a highly competitive process, thoughtfully navigated the complexities of the transaction, and kept our interests at the forefront every step of the way. Their responsiveness, professionalism, and ability to identify the right strategic partner were instrumental in achieving a successful outcome for UnaSource. I would strongly recommend PGP to any physician groups or ASC owners evaluating strategic partnership opportunities."

"UnaSource has built one of the largest high-performing, surgeon-led centers in the region, and our role was to run a disciplined process that identified the right strategic partner," said Robert Aprill, Partner at PGP, who leads the firm's ASC advisory coverage. "We marketed the center to all the relevant strategic and financial partners, generating significant interest throughout the process, underscoring the robust market demand for well-managed ambulatory surgery centers. We congratulate the leadership team at UnaSource, as well as CSA, on their successful partnership."

In conjunction with this announcement, PGP has released its latest ASC market update, which examines the forces shaping transaction activity in the sector.

Key themes include:

• Outpatient migration: how technology advances and minimally invasive procedures are shifting cases to the ASC setting
• Buyer landscape: how strategic operators, health systems, and private equity-backed platforms approach ASC acquisitions
• Valuation drivers: size, scale, geography, payor mix, and Certificate of Need (CON) protection
• Policy and reimbursement: expansion of the CMS ASC Covered Procedures List and continued site-of-care migration

Read the full 2026 Ambulatory Surgery Center Market Update.

"The ASC market remains one of the most active areas in healthcare M&A, but outcomes for owners depend heavily on preparation, positioning, and buyer selection," said Michael Kroin, Founder and Managing Partner at PGP. "This market update provides ASC owners with a clear view of what buyers are prioritizing right now and insight into where their center may stand in the current environment."

SOURCE Physician Growth Partners