What did Surgery Partners, AmSurg, USPI and HCA have in common during Q3?

Laura Dyrda -

The nation's largest public ASC chains had a rough third quarter, due in part to elements outside of their control. Here is one thing that Surgery Partners, AmSurg, United Surgical Partners International and HCA had in common:

Hurricanes Harvey and Irma wreaked havoc on revenue and growth.

Envision Healthcare, which encompasses AmSurg centers, was the first to report lower than expected revenue due to disruption from two hurricanes during the third quarter. The company's ambulatory services revenue dropped in the third quarter compared to the same period last year, and the company reported $3 million reduction in ambulatory services revenue after the natural disaster.

Surgery Partners reported a $7 million to $9 million revenue reduction due to issues related to Harvey and Irma, most notably electrical outages and temporary closures of surgical facilities. The company reported $306.3 million in revenue, which was lower than expected, and adjusted full year guidance to $1.3 billion to $1.33 billion to take the ongoing impact of the hurricanes into consideration.

HCA, which includes 32 ASCs and 50 hospital campuses, expects the hurricanes to have lowered same facility growth by 30 basis points and 80 basis points on same facility equivalent admissions growth. However, the company's revenue increased 2 percent overall in the third quarter.

Finally, Tenet reported the hurricanes lowered case growth by 210 basis points for the quarter; cases decreased 2.4 percent. The company's ambulatory care segment, made up primarily of United Surgical Partners International centers, reported quarterly success with net operating revenues increasing 4.5 percent to $468 million.

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