Becker's ASC Review

11 EXECUTIVE BRIEFING EXECUTIVE BRIEFING 2 "Until they get deep into the research, many surgeons aren't aware there are partners like Stryker that can assist with an ASC build-out," Dr. Broadway said. "One thing that stood out to us about Stryker was that they are just as excited about our project as we are. They really understand our vision." Arrowhead Surgery Center was also impressed by the breadth of Stryker's product catalog, from OR lights to instrumentation, stretchers, wheelchairs, patient warming devices and more. "Stryker brings so much to the table, which allows for capital placement in the ASC that can be paid down through utilization of their large product line," Dr. Broadway said. "Stryker technology is truly state of the art, especially for spine surgery. We have the equipment that will allow us to perform a level of complex spine surgery equal to larger organizations." For example, Arrowhead Surgery Center is using Stryker Airo TruCT — the world's first point-of-care CT scanner used for navigation in a surgery center. 3 This provides the team with image quality that can be customized to each patient's unique needs. Developing this ASC has taken nearly five years, which included disruptions during the COVID-19 pandemic. Stryker worked closely with Arrowhead Surgery Center at every step of the construction process to ensure the organization had what it needed in terms of equipment. "Despite supply chain challenges, Stryker always had a plan for getting us equipment," Mr. Fagerlie said. "They continually updated us about shipment status and moved with us as our targets changed. We never panicked because they understood where we were at and found ways to get us what we needed." Stryker's marketing programs were also valuable for the Arrowhead Surgery Center team. "We appreciated that Stryker was willing to go beyond the spreadsheets," Mr. Fagerlie said. "We have marketing resources, but they are limited. It was great that we could take advantage of Stryker's marketing materials for our audiences and messaging." "With this partnership, our hope is to become the place in the Upper Midwest where people come not only to see what we've been able to do from a partnership perspective, but to train, learn and expand their armamentarium based on the technologies we've put in place," Dr. Broadway said. Design principle 4: Create a great culture and let it drive patient care To ensure a great patient experience, Arrowhead Surgery Center is building a strong organizational culture and hiring a strong team of employees. "We want to provide fantastic care, and patients will feel that when they come through our doors," Dr. Broadway said. "If you have a great culture, the staff will deliver on that promise." The organization is being very selective in its hiring. The goal is to form a special team of people who want to offer outstanding care to their family, friends and other members of the community. A promising outlook for the ASC The common thread through all of Arrowhead Surgery Center's work is the patients. "Opening an ASC has been an intense process, but we've learned so much," Mr. Fagerlie said. "All of our decisions have focused on providing the best patient experience. We never cut corners, whether it was the building, technologies, implants or finding the right employees." When Arrowhead Surgery Center opens its doors, it will be a sort of homecoming for Dr. Broadway. "After practicing in Duluth for several years, I spent four years in Fargo, North Dakota," he said. "From a personal perspective, I have a lot of patients that I've treated in this area. I'm excited to return and to be their spine surgeon, if the need arises again." For fellow surgeons planning to open an ASC, Dr. Broadway has a key piece of advice given his positive experience working with Stryker: Engage with a strategic partner. "If you're standing on the sidelines and are interested in the ambulatory setting, explore the possibilities and find a partner that can offer guidance and support along the way." 1 https://www.beckershospitalreview.com/finance/outpatient-volumes-to-increase-in-2023-vast-majority-of-health-leaders-say.html 2 https://www.beckersasc.com/asc-news/asc-market-expected-to-reach-150-6b-by-2033-report-says.html#:~:text=The%20market%20value%20 increase%20is,perform%20surgeries%20in%20less%20time 3 https://www.stryker.com/us/en/spine/products/airo-truct/imaging.html

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