Becker's ASC Review

34 TRANSACTIONS 2 of 3 surgery centers fully owned by physicians: 5 industry notes By Alan Condon A bout 66 percent of surgery centers are wholly owned by physicians, with the rest of the market owned solely or in collaboration with hospitals and corporations, according to a June report from Definitive Healthcare. Five ASC industry notes: 1. Monthly ASC claims increased 47.1 percent from 2020 to 2021, according to an April report from Definitive Healthcare. Surgery centers saw 1.5 million average claims a month in 2020 compared to 2.2 million per month in 2021. 2. Envision Healthcare has 720 operating rooms, the most of any ASC corporation surveyed by Definitive Healthcare, and reports more than $266 million in Medicare charges. e following are the five largest ASC companies by number of operating rooms: • Envision Healthcare (Nashville, Tenn.): 720 operating rooms • HCA Surgery Center Division (Nashville): 693 operating rooms • SurgCenter Development (Towson, Md.): 225 operating rooms • Physicians Endoscopy (Jamison, Pa.): 186 operating rooms • Covenant Physician Partners (Nashville): 145 operating rooms 3. More than 4,500 physicians joined three of the largest ASC chains in 2021, with Dallas-based United Surgical Partners Inter- national, a subsidiary of Tenet Healthcare, further pulling ahead of its competitors both in terms of the number of physicians and surgery centers. Here are the largest ASC chains by the number of affiliated physicians: • United Surgical Partners International (Dallas): 11,000+ • Surgical Care Affiliates (Deerfield, Ill.): 8,500 • Surgery Partners (Brentwood, Tenn.): 4,000 • HCA Healthcare (Nashville): 3,200 • ValueHealth (Leawood, Kan.): 3,000 • SurgCenter Development (Towson, Md.): 2,500 • AmSurg (Nashville): 2,000 • Covenant Physician Partners (Nashville): 1,735 4. e top five musculoskeletal procedures with the highest volumes in 2021, followed by total number of procedures, are: • Drain/injection major joint/bursa without ultrasound: 5,020,496 • Injection tendon sheath/ligament: 973,442 • Drain/injection joint/bursa with ultrasound: 908,671 • Total knee arthroplasty: 600,266 • Inject trigger points on three or more muscles: 533,225 5. e top five physician specialties by average annual charges, fol- lowed by charges per provider, are: • Nephrology: $42,982,704 • Cardiac electrophysiology: $5,568,993 • Hematology/oncology: $5,037,403 • Medical oncology: $4,400,226 • Radiation oncology: $4,217,590 n $1.4B spent on 2022's most expensive ASC projects By Patsy Newitt The five most expensive ASC projects opened or an- nounced this year total $1.43 billion. The five projects: 1. In May, the University of California Board of Regents approved a $579 million ASC at UC Davis Health's Sacramento campus. It will be four stories and 262,000 square feet. 2. Northside Hospital Gwinnett in Lawrenceville, Ga., is expanding its ambulatory surgery offerings with a $400 million patient tower and medical office building. The 10-story patient tower will add 132 new patient beds, expanding the capacity from 388 to 520. 3. University of Rochester (N.Y.) Medical Center is converting a former Sears building within a mall to an orthopedic healthcare campus with an ASC. The 350,000-square-foot, $271 million facility is slated to open in 2023. 4. Chicago-based Northwestern Medicine plans to build a 120,000-square-foot outpatient facility on the city's South Side. The health system is injecting more than $100 million into the project, which will be developed in the Bronzeville neighborhood. 5. NewYork-Presbyterian Hospital bought an office com- plex in White Plains, N.Y., for $83.5 million that it plans to redevelop into a multispecialty outpatient campus. n Multispecialty ASC joining physician-owned orthopedic group By Marcus Robertson P hysician-owned group practice CNOS is adding Dakota Dunes, S.D.-based Midlands Clinic, the Sioux City Journal reported June 12. Midlands Clinic is a multispecialty center offering services including dermatology, gastroenterology, and bariatric and general surgery, the report said. All eight of its physicians are staying to join CNOS as well. The ASC will take the CNOS name Jan. 1, 2023. Finan- cial terms were not disclosed. n

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