Acquisition / Turnaround

You fix Patients. We Fix Surgery Centers.

ASCOA is known in the industry as The Turnaround Experts® based on its volume of experience in both freestanding ASC turnarounds and Hospital-Physician joint ventures. With an estimated 50 to 60% of all ambulatory surgery centers losing money, this represents a universe of at least 2,500 nationwide. ASCs of all maturity levels have asked ASCOA to partner with them to turnaround their underperforming operations. The main causes of underperforming centers are:

Poor ASC Management

  • Costs vs. % of collections (Staffing, Supplies, Leases, etc.)


  • Overbuilt facilities
  • Loose scheduling

Lower than optimal reimbursement per case

  • Case minimums not tracked
  • Poor contracting with payers

Lack of surgeon recruitment

ASCOA has developed sophisticated business and financial models specifically for surgery centers in this predicament. Many centers have gone through all their operating capital and credit lines by the time they seek assistance. While ASCOA certainly can turn things around then, the ASCOA team can help well before a center finds itself in a crisis. If you currently own an ASC that’s struggling, ASCOA can help. To date, ASCOA has started or turned around over 65 centers in multiple specialties all over the country. ASCOA provides a unique model of operations management, physician recruitment, payer contracting and financial expertise.

Review an acquisition/turnaround financial model.