Average Surgery Center Leverage Ratios by Total Annual Revenue

Here are the average debts and leverage ratios for surgery centers by total annual revenue, according to VMG Health’s 2009 Intellimarker.

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1. Total debt (all interest-bearing debt outstanding)

  • All facilities — $945,000
  • Less than $4.5 million — $571,000
  • $4.5 million-$7.0 million — $1.1 million
  • More than $7.0 million — $1.4 million

2. Net debt (total debt less cash on balance sheet)

  • All facilities — $1.0 million
  • Less than $4.5 million — $659,000
  • $4.5 million-$7.0 million — $956,000
  • More than $7.0 million — $1.3 million

3. Total debt/assets*

  • All facilities — 32.3 percent
  • Less than $4.5 million — 35.4 percent
  • $4.5 million-$7.0 million — 35.1 percent
  • More than $7.0 million — 30.3 percent

4. Total debt/equity

  • All facilities — 65.2 percent
  • Less than $4.5 million — 64.8 percent
  • $4.5 million-$7.0 million — 78.1 percent
  • More than $7.0 million — 55.8 percent

5. Total debt/EBIDTA

  • All facilities — 0.53x
  • Less than $4.5 million — 0.85x
  • $4.5 million-$7.0 million — 0.54x
  • More than $7.0 million — 0.44x

6. Net debt/assets*

  • All facilities — 27.7 percent
  • Less than $4.5 million — 36.1 percent
  • $4.5 million-$7.0 million — 32.8 percent
  • More than $7.0 million — 21.6 percent

7. Net debt/equity

  • All facilities — 62.2 percent
  • Less than $4.5 million — 75.4 percent
  • $4.5 million-$7.0 million — 85.9 percent
  • More than $7.0 million — 45.6 percent

8. Net debt/EBIDTA

  • All facilities — 0.49x
  • Less than $4.5 million — 1.24x
  • $4.5 million-$7.0 million — 0.56x
  • More than $7.0 million — 0.45x

*Ratios and percentages are calculated as total/net debt divided by total assets, equity or EBIDTA.

To receive a free copy of VMG Health’s 2009 Intellimarker, click here.

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