That little bit of bleeding off of cases and inability to focus on doing as much work as they can in the surgery center causes the revenue to start falling. They lose focus on what they need to do for continued success, begin to think their volume isn’t necessary and other physicians are doing cases and that it won’t make any difference. But it does make a difference. I have seen facilities that have gone from being on top of the world with great EBITDA but within six months they trash the EBITDA because of lost focus. Volume was there but it was so easy that they forgot the commitment and hard work that got them there.
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Read more insight from Joyce Thomas:
– Critical ASC Mistake: Physician-Owners Lacking Financial Understanding of Their ASC Investment
– Critical ASC Mistake: Failure to Maintain the ASC’s Appearance