The problem with ASC's today...

Did you see this article in Becker’s ASC review Where 5 ASC giants stand in 2024 (beckersasc.com)? It really points out the problem with ASC’s today. Surgeons can expect a great return on their investment from almost any ASC run by one of the big five companies. The question is whether it moves the needle on your personal finances? ?

Probably not. Here is the data from the paper, with me adding the last 2 columns. ?

These are the very back of the envelope approximations. But if you assume that the operator owns 51% of the company, and that the surgeons own an equal share (neither of which is true, but both of which are reasonable estimates) ... the top 5 ASC companies look a lot alike. As an individual physician you are going to own around 2% of the company. ?

That is not typically enough to make a substantial change in your standard of living.?

There is an alternative. Find a small band of brother and sister surgeons who want to take every case to an amazing, high-quality ASC that is well run. If you have 2 operating rooms, you can support 5 surgeons who each own over 10% of the facility. As long as everyone rows the boat in the same direction as hard as they can, you can all have a gratifying place to work, deliver world class care, and make a big part of your annual income from the facility. ?

WINNING! ?