10 numbers making ASCs nervous

From ballooning staffing budgets to physician burnout, here are 10 statistics weighing heavily on ASC leaders:

1. Nearly half (49%) of ASCs not using an electronic health record cite cost as the main barrier. Of those still on paper charts, 68% plan to stay put until required to switch — up from 59% in 2023, according to the Ambulatory Surgery Center Association’s July 2025 60-Second Survey.

2. More than three-quarters of physicians feel health systems aren’t doing enough to address “quiet quitting,” according to a Sermo survey of 600 physicians.

3. In 2023, 43% of ASCs reported operating budgets of $3 million or more, up from 32% in 2022,  according to a survey from OR Manager.

4. Nurse turnover was reported by 35% of ASCs in 2023, up from 15% in 2014 but down from a COVID-19 pandemic peak of 49% in 2021.

5. Nearly half of physicians say they work with an incompletely staffed team at least 25% of the time, according to a May 2025 JAMA Internal Medicine report.

6. More than 40% are considering leaving their roles within two years, citing long hours, administrative burden and pay concerns, according to an August report from the American Medical Association.

7. ASCs spent 26.3% of operating revenue on drugs and supplies last year. That averages $634 per procedure, according to data from EDM Medical Solutions.

8. Becker’s has reported on four ASC closures  so far this year.

9. Sixty-seven percent of hospitals and health systems now prefer to own at least 50% of their ASC joint ventures, up from 64% in 2023, according to Avanza’s Intelligence Hospital Leadership ASC Survey.

10. Drug expenses were up 9% year over year in February, according to Kaufman Hall’s “National Hospital Flash Report” released April 8. Compared to 2022 year to date, drug expenses per calendar day grew 15%.

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