The 2022 study is based on information provided from more than 380 centers in the U.S. representing a case volume of more than 2 million.
Here are more than 100 stats on ASCs from VMG Health’s 2022 “Multi-Specialty ASC Benchmarking Study“:
- Gastroenterology: 32 percent
- Ophthalmology: 26 percent
- Pain management: 22 percent
- Orthopedics: 21 percent
- Otolaryngology: 11 percent
- General surgery: 9 percent
- Urology: 8 percent
- Oral surgery: 8 percent
- Gynecology: 7 percent
- Plastic surgery: 6 percent
- Podiatry: 5 percent
ASC facility size by square feet:
- Under 5,000 square feet: 6 facilities
- 5,000-10,000 square feet: 51 facilities
- 10,000-15,000 square feet: 88 facilities
- 15,000-20,000 square feet: 69 facilities
- 20,000-25,000 square feet: 32 facilities
- More than 25,000 square feet: 35 facilities
Average revenue per case per specialty:
- Orthopedics: $3,791
- Gynecology: $3,117
- Podiatry: $2,990
- Urology: $2,724
- Otolaryngology: $2,617
- General surgery: $2,508
- Plastic surgery: $2,264
- Ophthalmology: $1,487
- Pain management: $1,273
- Gastroenterology: $1,079
- Oral surgery: $909
Cases performed by ASCs’ top physicians:
Top two physicians:
- Mean percentage of cases: 33 percent
- Median percentage of cases: 29 percent
- 25th percentile: 22 percent
- 75th percentile: 39 percent
- 90th percentile: 53 percent
Top five physicians:
- Mean percentage of cases: 33 percent
- Median percentage of cases: 29 percent
- 25th percentile: 22 percent
- 75th percentile: 39 percent
- 90th percentile: 53 percent
Top 10 physicians:
- Mean percentage of cases: 72 percent
- Median percentage of cases: 72 percent
- 25th percentile: 61 percent
- 75th percentile: 85 percent
- 90th percentile: 94 percent
Median cash and equivalents for ASCs by region:
Cash and equivalents:
- All facilities: $934,000
- Atlantic: $710,000
- Midwest: $649,000
- Mountain: $783,000
- Northeast: $878,000
- Pacific: $857,000
- South: $1.2 million
Median days with cash on hand:
- All facilities: 39.8
- Atlantic: 33.4
- Midwest: 37.5
- Mountain: 32.9
- Northeast:46.5
- Pacific: 37.7
- South: 49.6
Breakdown by region for net accounts receivable:
- Atlantic: $742,000
- Northeast: $768,000
- Pacific: $896,000
- Mountain: $901,000
- South: $908,000
- Midwest: $930,000
Drug and medical supplies costs per case:
- Mean: $634
- 25th percentile: $371
- Median: $533
- 75th percentile: $808
- 90th percentile: $1,029
Drugs and medical supplies expenditures by dollar amount:
- Mean: $2,932,000
- 25th percentile: $1,491,000
- Median: $2,368,000
- 75th percentile: $3,634,000
- 90th percentile: $5,432,000
Drugs and medical supplies expenditures by percent of net operating revenue:
- Mean: 26.3 percent
- 25th percentile: 20.6 percent
- Median: 26.4 percent
- 75th percentile: 30.8 percent
- 90th percentile: 36.8 percent
Median ASC payments for drugs and medical supplies by region:
- All facilities: $2,368,000
- Atlantic: $2,416,000
- Midwest: $2,466,000
- Mountain: $2,368,000
- Northeast: $1,403,000
- Pacific: $2,007,000
- South: $2,949,000
ASCs’ earnings before interest, taxes, depreciation and amortization:
- Mean: $3 million
- 25th percentile: $902,000
- Median: $2.1 million
- 75th percentile: $4.4 million
- 90th percentile: $7.3 million
EBITDA — percent of net operating revenue:
- Mean: 23.2 percent
- 25th percentile: 14.6 percent
- Median: 23.2 percent
- 75th percentile: 32.3 percent
- 90th percentile: 41.5 percent
Median EBITDA for ASCs by region:
- All facilities: $2,125,000
- Atlantic: $1,523,000
- Midwest: $1,797,000
- Mountain: $2,054,000
- Northeast: $1,938,000
- Pacific: $1,482,000
- South: $3,504,000
Total operating expenses — dollar amount:
- Mean: $8.1 million
- 25th percentile: $4.9 million
- Median: $6.9 million
- 75th percentile: $10.1 million
- 90th percentile: $13.9 million
Total operating expenses — percent of net operating revenue:
- Mean: 76.8 percent
- 25th percentile: 67.7 percent
- Median: 76.8 percent
- 75th percentile: 85.4 percent
- 90th percentile: 94.8 percent
- Mean: $11,160,000
- 90th percentile: $20,316,000
- 75th percentile: $14,899,000
- Median: $9,413,000
- 25th percentile: $6,075,000
Median net operating revenue for ASCs by region:
- All facilities: $9,413,000
- Atlantic: $8,627,000
- Midwest: $8,748,000
- Mountain: $9,096,000
- Northeast: $8,005,000
- Pacific: $7,426,000
- South: $12,099,000
Median total operating costs for ASCs by region:
- All facilities: $6,984,000
- Atlantic: $6,655,000
- Midwest: $6,820,000
- Mountain: $7,038,000
- Northeast: $5,556,000
- Pacific: $6,291,000
- South: $8,166,000
- Mean: $547,000
- 25th percentile: $293,000
- Median: $436,000
- 75th percentile: $713,000
- 90th percentile: $1,091,000
Management fee expenditures — percent of net operating revenue:
- Mean: 4.8 percent
- 25th percentile: 3.9 percent
- Median: 4.9 percent
- 75th percentile: 5.9 percent
- 90th percentile: 6.8 percent
Median ASC payments for management fees by region:
- All facilities: $436,000
- Atlantic: $362,000
- Midwest: $413,000
- Mountain: $478,000
- Northeast: $361,000
- Pacific: $414,000
- South: $558,000
Cases performed per center per day:
- Mean total cases per ASC: 20.9
- Median number of cases: 18
- 25th percentile: 12.3
- 75th percentile: 26.3
- 90th percentile: 37.1
Cases performed per center per year:
- Mean total cases per ASC: 5,217
- Median number of cases: 4,504
- 25th percentile: 3,077
- 75th percentile: 6,566
- 90th percentile: 9,277
Median total cases per center per region:
- U.S.: 4,504
- Atlantic: 4,785
- Midwest: 4,252
- Mountain: 4,414
- Northeast: 3,681
- Pacific: 4,257
- South: 5,032
- Mean: $2,193,000
- 25th percentile: $1,313,000
- Median: $1,953,000
- 75th percentile: $2,700,000
- 90th percentile: $3,652,000
Employee salaries and wages — percent of net operating revenue:
- Mean: 21.3 percent
- 25th percentile: 16.9 percent
- Median: 21.3 percent
- 75th percentile: 25.3 percent
- 90th percentile: 29 percent
Median ASC payments for employee salaries and wages by region, in thousands:
- All facilities: $1,953
- Atlantic: $1,772
- Midwest: $1,793
- Mountain: $2,022
- Northeast: $1,704
- Pacific: $1,878
- South: $2,174
ASC total staffing hours per case by region:
- Northeast: 14.2
- Midwest: 13.7
- Pacific: 13.6
- Mountain: 13.5
- Atlantic: 13.3
- South: 13.1
Median number of full-time equivalent administrative staff at ASCs by region:
- Atlantic: 8
- South:8
- Midwest: 7
- Mountain: 7
- Northeast: 6
- Pacific: 6
Median number of full-time equivalent staff at ASCs by region:
- Atlantic: 30
- Midwest: 31
- Mountain: 28
- Northeast: 25
- Pacific: 23
- South: 34
Median hourly wages of full-time equivalent staff at ASCs by region:
- Atlantic: $30.22
- Midwest: $29.77
- Mountain: $33.89
- Northeast: $34.72
- Pacific: $37.87
- South: $31.94
Average number of full-time equivalent staff at ASCs:
- Nurse staff: 15
- Administrative staff: 9
- Tech staff: 8
Median number of full-time equivalent nurses at ASCs by region:
- Atlantic: 14
- Midwest: 15
- Mountain: 13
- Northeast: 12
- Pacific: 10
- South: 15
Average payer mix of total cases by percentage:
- Medicare: 36 percent
- Medicaid: 10 percent
- Commercial: 44 percent
- Workers’ compensation: 5 percent
- Self-pay: 5 percent
- Other pay: 14 percent
Payer mix by percentage of total collections:
- Medicare: 24 percent
- Medicaid: 7 percent
- Commercial: 55 percent
- Workers’ compensation: 9 percent
- Self pay: 5 percent
- Other pay: 14 percent
