are physicians interested in joining or building an ambulatory surgery
Developing and owning an
ASC allows you to share in the facility fee revenue for the outpatient
surgery cases you are performing. An outpatient surgery center also allows
you to provide cost-effective and convenient high quality care for your
patients. Ownership in an ASC is an investment in the future success of your
is a partnership with AmSurg structured?
When you partner with
AmSurg, physician owners will retain 49 percent of the center’s ownership
and AmSurg will become a 51 percent owner. While this makes AmSurg the
majority stockholder, the governance of the center is delegated to a
consensus operating board with equal representation between the
physician owners and AmSurg.
does AmSurg have to be the majority stockholder in a partnership?
As a publicly traded
company, we have majority ownership in order to consolidate surgery center
revenues. It is important to note that while we own 51 percent of the
center,the center is governed by an operating board with equal
representation between the physician owners and AmSurg.
can I learn more about AmSurg’s financial performance or stock price?
to learn more about our company's financial performance.
should I consider selling a portion of my center to AmSurg?
- You wish to realize the cash value of your center. If you are a
center owner, you have invested your time, energy and expertise to build your
center. You have built an asset with real value, but there are limited ways for
you to realize your center’s value. AmSurg’s purchase of a portion of your
center allows you to be paid now for several years' worth of earnings in today’s
- You want to consider your center in your financial planning strategy.
As a center owner, you understand that one of the elements of planning for your
financial future should be determining the optimal time to sell an interest in
your surgery center. This decision may be part of an overall diversification
strategy, a tax and estate planning vehicle, or a hedge against further
- You want to benefit from the lower tax rate on capital gains. Sale
proceeds are taxed at the capital gains rate versus your ongoing distributions,
which are taxed as ordinary income.
- You would like to maximize your profit. The present value of getting
your money up front as capital gains is significantly greater than waiting to
receive ordinary income over time.
- You would like to hedge against future risks and protect your current
investment. Health care is a volatile industry and change is the only
constant. Future reimbursement rates and contracting is uncertain. You can
decrease your risk exposure by selling a portion of your surgery center and
taking cash payment on future earnings at today's valuation now.
I need a third party to contact AmSurg?
We are always interested in speaking with the physician owners of any
surgery center or physicians considering a new center. You do no need to rely on
a third party, such as a broker, to initiate or mediate discussions with us. A
third party will potentialy cost you money.
We look forward to working
with you and your financial and legal advisors. Since 1992, we have successfully
negotiated the development or purchase of more than 200 surgery centers.
is my surgery center worth?
Your surgery center has
likely already proven its value to you by enhancing your productivity and
increasing your income. When the time is right to consider selling a portion
to AmSurg, we determine your center's value by multiplying the profit of the
center by the current surgery center industry multiple. If you contact us,
we can give you a quick and fair assessment of your center's value in
and when is payment made for the center?
The purchase price is
paid 100 percent in cash at closing.
I am interested in building a new center, why consider working with AmSurg?
- Expertise in new center development. When you work with AmSurg, we
deploy a team of health care construction professionals with extensive
experience in both construction and clinical management – key to building and
running and efficient center. We handle pre-planning tasks, site selection,
lease negotiations, space design, construction management, state approvals,
Medicare certification and many other steps along the way.
- Physician alignment. If physicians from multiple practices will be
participating in the new center, AmSurg serves as the bridge between the various
physician groups. We help provide leadership and guidance to unite the
physicians in a common goal of growth and high-quality service to the new
surgery center patients.
- Share development expenses. When AmSurg enters into a partnership, we
are your true partner. AmSurg contributes our share of the costs to develop and
equip the new center, thereby reducing the amount you must contribute. We also
apply our expertise and economies of scale to manage costs.
- Local financing is usually more complex and difficult. Without AmSurg
as a partner, physicians must typically seek and obtain financing at the local
level, a cumbersome and time-consuming process. Seeking financing alone can take
longer, include more paperwork and cost more in fees compared to working with
- Personal investment. Without AmSurg as a partner, local financing can
require each physician, as well as the physician legal entity, to personally
guarantee 100 percent or more of the loan amount.
- Access to capital. As a partner with AmSurg, your new center can have
access to a significant line of credit available through AmSurg once the
promissory note is signed. There are no closing costs and only minimal filing
- More favorable terms. Typically, the overall terms are more favorable
to the partnership and are more beneficial to the overall center development
process. For example, if the physician entity owns 49 percent of the surgery
center, an individual physician only has to guarantee his or her ownership
percentage in the entity.
To learn more about developing a center with
AmSurg, we encourage you to contact us or learn more at
Build a New Center.
can AmSurg help if I want to build a new center?
Planning, building, certifying and operating an ASC is a complex and
time-consuming process. With AmSurg as your partner in developing a new ASC, you
can spend time doing what you do best - providing quality patient care.
In our partnerships, AmSurg provides the expertise required to design and
build the center, to hire and train the staff, to successfully complete the
state licensure and Medicare certification process and to contract with third
To learn more about building a center with AmSurg, we encourage you to
contact us or learn more at
Build a New Center.