SURGERY CENTER OF KEY WEST, LLC
KEY WEST, FLORIDA

38. Around 60 percent of ASC company respondents acquired centers last year: 46. Minority interest sale takes three to six months on average for 55 percent of the respondents when dealing with a new physician. However, when selling controlling interest to an ASC, 56 percent say it takes six months to one year to complete the process. 47. Half of the respondents report selling controlling ASC interest to a hospital or health system. ASC Company Key Notes 56. Optum, a UnitedHealth Group company, combined with Surgical Care Affiliates in January 2017, acquiring the company's outstanding common stock for $57 per share. At the time, SCA had 20,000 affiliated physician partners and operated 205 surgical facilities. Since then, SCA has continued to expand its cardiovascular program and partnered with Western Connecticut Orthopedic Surgery Center in Danbury. 57. Envision Healthcare's ambulatory services reported $318.5 million in the second quarter of 2017, down slightly from the same period last year. The company did report a 0.6 percent jump in same-center revenue and acquired two centers in the quarter. 61. Private equity firm KKR acquired Covenant Surgical Partners from its previous shareholders: DFW Capital Partners, Iroquois Capital Group, PineBridge Investments and other shareholders. When the acquisition was announced on Aug. 8, 2017, Covenant owned 37 gastrointestinal and ophthalmic ASCs. 62. In July 2017, Physicians Endoscopy signed a strategic agreement with Digestive Healthcare Center physicians to create the company's 58th partnered center — Central Jersey Ambulatory Surgical Center in Hillsborough Township, N.J. 68. Surgeons that provide high quality care will always have patients, regardless of regulations and insurance. "All I know is what I'm good at, and if I'm good at it, there are enough people who are concerned about their back pain that they will pay," said Dr. Yeung. "Patients have a choice in determining who to go to. I focus on the result…Focus on the patient, guarantee the result and everything else will work out." 71. ASCs will need to distinguish themselves using data to prove their outcomes are better and adding ancillary services to improve leverage in payer contract negotiations. "If you have a novel imaging center and the hospital doesn't you can negotiate better contracts," said Dr. Lynch. Ancillaries are also a critical aspect of Dr. Wohns' business, including imaging, durable medical equipment, physical therapy and pain management. "If you are a single solo provider and think about the number of referrals you make outside the practice, you can support them within the practice," he said. "You don't have to add infrastructure for most of them." You all make me feel calmer, cheerful and naturally better. This was the sixth visit. Three for Bob, and three for Maggie. Thank God Dr. Klitenick has the Surgery Center Of Key West. We thank God for you all. Surgery Center of Key West wants to thank you for your trust in us for your surgical procedure. We recognize that you have the right to choose the provider of your healthcare services. We are pleased that you have chosen The Surgery Center of Key West. We look forward to taking care of you at the Surgery Center of Key West, LLC. Thank you for choosing us for your outpatient surgery. Surgery Center of Key West wants to thank you for your trust in us for your surgical procedure. We recognize that you have the right to choose the provider of your healthcare services. We are pleased that you have chosen The Surgery Center of Key West.