Physician recruitment challenges
• Growing shortage of physicians: 32 percent
• Competition from other ASCs and surgical hospitals: 24 percent
• Increasing hospital employment of physicians: 24 percent
• Share cost becoming prohibitive of new buy-in; 20 percent
Case volume growth challenges
• Impact of economy on elective procedures: 36 percent
• Competition from other ASCs and surgical facilities: 32 percent
• Increase in hospital employment of physicians: 23 percent
• Expected retirement of high volume physicians: 9 percent
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