Becker's ASC Review

June_2019_ASC_Review

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31 JOINT VENTURES 10 ASC closures in the past year, and the reason why By Laura Dyrda T here have been several ASC openings, and a few closures, over the past 12 months. Here is why a few of those centers closed. The Villages (Fla.) Regional Hospital closed an ASC on March 1 because it didn't attract enough specialists to operate as normal. The ASC, which opened in 2015, included ophthal- mology, podiatry, dermatology, pain management and plastic surgery. It may reopen in the fall if circumstances change. On March 1, Laser Spine Institute closed four ASCs in Tampa, Cincinnati, Scottsdale, Ariz., and St. Louis, after the company failed to secure enough financing to continue operations. The company, which launched its first center in 2005, displaced around 1,000 employees with the closures. During the six months before the com- pany shut down, Laser Spine Institute closed three other surgical centers in an attempt to reduce its operating costs, but was unable to develop a sustainable cost structure. Houston-based U.S. Pain & Spine Hospital closed abruptly in May, and 63 employees were laid off. After the organization's CEO and CFO departed the hospital, it found accounting errors and omissions in hospital operations that impacted the bottom line. Rockdale, Texas-based Little River Healthcare closed its facilities in December, including Temple (Texas) Surgery Center due to financial chal- lenges. On Oct. 19, 2018, Naples (Fla.) Day Surgery closed. Owners of the joint venture surgery center, owned by local physicians and NCH Healthcare System, cited low patient volume and competition from other ASCs in the closure. Opened in 1986, the ASC had five surgical suites and 64 employees. n PE-backed firm acquires eye center with 3 clinics, 2 ASCs: 5 things to know By Laura Dyrda O mni Ophthalmic Management Consultants acquired an eye cen- ter with locations in Pennsylvania and Maryland, according to a press release published in PE Hub. Five key notes: 1. Omni Ophthalmic is a portfolio of NMS Capital, a private equity firm. The company acquired Ludwick Eye Center, a regional medical and sur- gical eye care services provider. The organization has centers in Cham- bersburg, Pa., and Waynesboro, Pa., as well as Hagerstown, Md. 2. The companies did not disclose the terms of their agreement, which is Omni's fourth affiliation in the past two years. 3. The acquisition is Omni Ophthalmic's first affiliation in Maryland. The firm already has locations in Pennsylvania and the acquisition strengthens its presence in the region. 4. Ludwick Eye Center includes three clinics and two ASCs. Omni now has 70 providers and 20 practice locations in the Northeast and Mid- Atlantic regions of the U.S. 5. All together, Omni centers generate combined revenue of more than $100 million. n Michigan-based ASC company aims to develop 15 centers through 2020: 5 things to know By Laura Dyrda R oyal Oak, Mich.-based Hillcrest Capital Partners, an ASC development and management company, aims to open 15 ASCs in the near future, according to Crain's Detroit Business. Five things to know: 1. e company will partner with physician investors to develop 15 surgery centers in Michigan by the end of 2020. 2. Hillcrest was founded in 2015 and currently manages one center, Charter Endos- copy Center in Flint, Mich. e company has plans for three additional centers in the works. 3. e company estimated development will cost around $14 million for each center and guaranteed a return of investment between $20 million to $30 million per center, according to the report. 4. Michigan is a certificate-of-need state, which makes developing new ASCs chal- lenging. However, Hillcrest owners report multiple physicians have committed to ASCs in planned CON applications. 5. Hillcrest, founded by Abe Baydoun and Ricardo Borrego, MD, are looking for centers to include spine, orthopedics, pain management and cardiovascular care. n

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