Ambulatory Surgical Centers (ASCs) are medical facilities that specialize in performing outpatient surgical procedures. They play a pivotal role in moving services into less expensive yet clinically appropriate settings. ASC-qualified procedures can be considered more intensive than those done in the average doctor's office but not so intensive as to require a hospital stay.



ASC Facts & Figures

• More than 50% of colonoscopy services are performed in ambulatory surgery centers.¹


• In the United States, more than 22 million surgeries a year are performed in more than
    5,000 ASCs.


• In general, facilities range in size from as small as 4,000 sq. ft. for a one or two operating
    room (OR) center, to as large as 30,000-40,000 sq. ft. with up to twelve ORs.

Large	4+	5,598	$8,699	Ophthalmology 20%, GI/endoscopy 18%, pain management 18%, orthopedics 13%.
Medium	3-4	3,540	$5,998	NA
Small	1-2	2,525	$3,826	G/I endoscopy 35%, ophthalmology 25%, urology 23%, orthopedics 21%

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Although we can build a center to any size and specification, in the past our Dialysis Centers ranged from 4,000 sq. ft. (i.e. dedicated solely to hemodialyis) to over 26,000 sq. ft. (i.e. facilities that combine both Dialysis and Medical Offices for patient care and space maximization). Some of our state-of-the-art facilities also allow for nocturnal dialysis in effect adding a new level of patient support.

Physicians have traditionally been the primary investors in ASCs. Recent publications report that physicians maintain ownership stakes in approximately 83% of ASCs and fully own approximately
43%.¹

Even though as much as 50% of the orthopaedic surgeon's practice is devoted to non-surgical or medical management of injuries or disease and 50% to surgical management, The American Association of Orthopaedic Surgeons (AAOS) believes that ASCs perform a vital role in the provision of patient centered, cost effective, high quality musculoskeletal care.²

Orthopedic Facts & Figures

• On average, orthopedics account for 16% of the total case volume mix in surgery centers.


• The average surgery center performs 4,869 cases annually, which would average to around
     779 orthopedics cases annually.


• The average gross charges for orthopaedic cases are $8,026. The average case revenue is
    $2,453.³


• Net revenues per orthopedic case by the number of operating rooms in the surgery center.³


• • 1-2 ORs – $2,111


• • 3-4 ORs – $2,482


• • More than 4 ORs – $2,383