Issue link: https://beckershealthcare.uberflip.com/i/1187260
8 ASC MANAGEMENT Nobilis Health closes surgical hospital, ASCs; owes millions tied to credit agreement By Angie Stewart H ouston-based Nobilis Health Corp. closed three facilities Sept. 27 after being ap- pointed a temporary receiver for its assets, according to reports from Market Exclusive and Houston Busi- ness Journal. Nobilis closed Kirby Surgical Center in Houston, Plano (Texas) Surgical Hospital, and Uptown Surgery Center of Plano Surgical Hospital in Dallas. The organization also shut down its Peak intraoperative neuromonitoring service business the same day. Three days prior, the 44th District Court of Dallas County appointed Howard Marc Spector as temporary receiver for all the assets of Nobilis Health, its indirect subsidiary North- star Healthcare Acquisitions and cer- tain other subsidiaries. Mr. Spector is a partner and bankruptcy attorney at Spector & Johnson. According to Nobilis' SEC filing from Sept. 27, the bank holding company BBVA USA is demanding payment of over $123.2 million related to the company's credit agreement, as well as $7.75 million tied to matured loans in a super priority credit agree- ment. Nobilis closed two other facilities, Surgeons' Premier Medical Center in Sugar Land, Texas, and Scottsdale (Ariz.) Liberty Hospital, Sept. 13. The closures came after Nobilis' Chief Legal Officer Marissa Arreola and for- mer CFO Brandon Moreno resigned on Sept. 6. n Regent, UHS partner to develop ASCs: 4 key notes By Laura Dyrda R egent Surgical Health inked a partnership with Universal Health Services, a 354-hospital chain with facilities across the U.S., to build and operate ASCs. Four things to know: 1. The joint venture will expand UHS' ambulatory capabilities. The King of Prus- sia, Pa.-based health system has 40 outpatient facilities and ambulatory access points currently and the partnership will accelerate expansion. 2. Regent Surgical Health currently owns or operates 26 ASCs, with 21 being hospital joint ventures and 14 including total joint replacements. It has 600 cre- dentialed surgeons who perform 70,000 procedures each year. 3. Together, Regent and UHS aim to develop a "transformative ambulatory strat- egy" that will deliver both quality care and bottom-line results. 4. Regent will bring its best practices for staff recruitment and retention, training, physician recruitment and surgeon and patient satisfaction to the partnership. The company also has experience in clinical oversight, payer contracting, supply chain, revenue cycle, case costing and marketing. "We continually innovate and enhance the ASC model to ensure success in the changing healthcare market conditions," states Chris Bishop, CEO of Regent. "Our operating model has realized material increase in both patient and surgeon satisfaction scores, due in large part to improved efficiency of operations and clinical focus." n HCA Healthcare revenues hit $12.7B, outpatient surgeries up 2.6% By Angie Stewart Nashville, Tenn.-based HCA Healthcare reported revenues of nearly $12.7 billion in the third quarter of 2019, a year-over-year increase of about $11.5 billion. Six things to know: 1. As of Sept. 30, HCA operated 184 hospitals and 125 freestanding outpatient surgery centers. 2. HCA reported 235,853 same-facility outpatient surgeries in the third quarter, a year-over- year increase of 2.6 percent. Inpatient surgery cases increased 2.2 percent year over year, from 132,509 to 135,379. 3. Same-facility equivalent admissions and same-facility admissions rose 4.2 percent and 3.2 percent, respectively. Same-facility revenue per equivalent admission increased 2 percent year over year. 4. HCA logged 143,215 inpatient surgery cases in the third quarter, up 4.4 percent year over year. Outpatient surgery cases were up 5.2 percent, at 249,177. e company's outpatient rev- enues accounted for 39 percent of patient revenues. 5. Revenues for the nine months ended Sept. 30 hit $37.8 billion, up from $34.4 billion in last year's third quarter. During that period, gains on sales of facilities amounted to $420 million, and losses on retirement of debt reached $9 million. 6. e company revised its 2019 guidance range, which includes the estimated financial impact of its February acquisition of Asheville, N.C.-based Mission Health. HCA now expects rev- enues of $50.5 billion to $51.5 billion, and approximately $3.8 billion in capital expenditures for the year. n