Here are 201 orthopedic- and spine-driven ambulatory surgery centers to know.
If you have any questions or comments about this list, please contact Laura at lmiller@beckershealthcare.com.
Adult & Children's Surgery Center of Southwest Florida (Fort Myers). Originally named Summerlin Bend Surgery Center, this ASC experienced an initial investor group split and then chose to take on a corporate partner in 2006. This surgery center is 70 percent physician owned by its 21 physicians and 30 percent owned by Ambulatory Surgery Centers of America. The surgery center includes otolaryngology, podiatry and pain management in addition to orthopedics and spine. The facility includes two operating rooms and is physicians from Orthopedics Specialists of SW Florida perform cases there.
Ambulatory Surgical Center of Somerset (Bridgewater, N.J.). Ambulatory Surgical Center of Somerset offers outpatient orthopedics, spine and pain management services, including fracture care, Achilles tendon repair, ACL reconstruction and minimally invasive spine surgery. The ASC has a private 23 hour recover suite and surgeons have performed endoscopic and arthroscopic discectomies since 1990. There are seven physicians affiliated with the center, which is accredited by the Accreditation Association for Ambulatory Health Care.
Ambulatory Surgical Center of Stevens Point (Stevens Point, Wis.). Led by administrator Becky Ziegler-Otis, the Ambulatory Surgical Center of Stevens Point has two operating rooms with the capability to perform almost all outpatient procedures. Surgeons are able to perform total and unicompartmental knee replacements with minimally invasive procedures. In addition to orthopedics, physicians at the surgery center perform pain management, urology, plastic surgery and ophthalmology. The surgery center was opened in 2006 and is a member of the Ambulatory Surgery Center Association.
Andrews Institute Ambulatory Surgery Center (Gulf Breeze, Fla.). The Andrews Institute Ambulatory Surgery Center was founded as a joint venture between physicians and Baptist Health Care. It is affiliated with Andrews Institute for Orthopaedics & Sports Medicine, founded by James Andrews, MD, who is renowned for his work with professional athletes and serves as team physician for the Tampa Bay Rays. The facility has eight operating rooms with digital equipment, high definition camera and video systems for visualization during surgery. Physicians at this multispecialty surgery center focus on orthopedic surgery, sports medicine and pain management, among other procedures.
AOK Spine and Pain Surgery Center (Houston). AOK Spine and Pain Surgery Center opened in August 2012, an addition to the AOK Medical Center. The ASC will include endoscopic carpal tunnel, spine surgery and pain management, among other procedures. There are four physicians affiliated with the center, which also includes physical therapy and MRI. There is an emergency room located in the same building.
Arkansas Specialty Orthopaedics Surgery Center (Little Rock, Ark.). The center is affiliated with Arkansas Specialty Orthopaedics, which has foot and ankle, hand and upper extremity, hip and knee replacement, joint and shoulder replacement, orthopedic first care, orthopedic trauma, orthopedic spine and sports medicine services. Physicians at the surgery center are able to perform arthroscopic procedures. The physicians are also owners of the Arkansas Specialty Orthopaedics Physical and Occupational Therapy and Arkansas Specialty Orthopaedics MRI Center.
Atlanta Sports Medicine Surgery Center. Atlanta Sports Medicine & Orthopedic Center includes the former team physicians for the NHL Atlanta Thrashers and Atlanta Falcons football team. The surgeons focus on patients with knee, shoulder, elbow, hip and ankle injuries. The practice was established in 1991, and now includes the ASC's operating rooms. The facility also has physical therapy.
Baltimore Spine Center. The Baltimore Spine Center includes minimally invasive treatments for outpatient orthopedic and spine procedures. Board-certified orthopedic surgeons perform sports medicine procedures such as ACL repairs and fracture repair. Spine surgeons perform procedures on patients with disc herniation or degenerative disc disease. Surgeons affiliated with the center include chief of orthopedic surgery and surgical specialties at Kaiser Permanente, Baltimore Gurminder S. Ahuja, MD.
Beacon Orthopaedics and Sports Medicine ASC (Summit Woods and Beacon West, Ohio). Beacon Orthopaedics and Sports Medicine includes ASCs in Summit Woods and Beacon West locations. The ASCs have 23-hour nursing care rooms for patients who need a longer recovery and has received accreditation from the Accreditation Association for Ambulatory Health Care. Physicians Anesthesia Service provides anesthesia at the centers. The practice also includes physical therapy, athletic trainers, chiropractic care and imaging.
Bellin Orthopedic Surgery Center (Green Bay, Wis.). Bellin is a joint venture between physicians of Orthopaedic Associates of Green Bay, Green Bay Orthopedics and Bellin Health, an integrated healthcare delivery system. Orthopedic & Sports Medicine Specialists of Green Bay specializes in repair of a wide range of orthopedic problems including the knee, ankle, shoulder and hip. The center, which began treating patients in March 2010, recently opened a third OR. The clinical medical team includes 10 physicians and Bellin Health is the official healthcare provider of the Green Bay Packers.
Bellingham (Wash.) Surgery Center. Bellingham Surgery Center was opened in 1986 by a group of physicians and previously owned by Whatcom Medical Bureau, now called Regence. Symbion acquired the center in 1999. The ASC participates in Symbion's internal monitoring and tracking systems on patient care, safety, operations, quality improvement and patient satisfaction. It also benchmarks on a national level through the Federated Ambulatory Surgery Association. It is accreditation through Joint Commission and Medicare certified.
Bend (Ore.) Surgery Center. A four-OR center with three procedure rooms, this facility is 100 percent physician-owned, with 35 owners and 60 users who perform more than 10,000 cases annually. The ASC opened in 1997 and moved to its new 20,000-square-foot location in October 2005. While driven by orthopedic, spine and pain management procedures, the multispecialty center hosts ENT, general surgery and gynecological surgery as well. In July 2009, the Bend Surgery Center Foundation was created to provide scholarships for local students interested in pursuing healthcare. The surgery center also sponsors several local groups, including Volunteers in Medicine and Boy Scouts.
Blue Bell (Pa.) Surgery Center. This four-OR, multi-specialty ASC opened in September 2008 and specializes in orthopedics and spine. It has 22 physician owners, including six orthopedic surgeons. It also hosts ENT, pain management, plastic surgery, general surgery, ophthalmology and gastroenterology. Blue Bell sees approximately 225 patients per month and is managed by Ambulatory Surgical Centers of America. The center is led by administrator Vicki Edelman, who has been with the project since its construction phase. It is accredited by the Accreditation Association for Ambulatory Health Care.
Blue Ridge Orthopaedic & Spine Center Ambulatory Surgical Center (Warrenton, Va.). Blue Ridge Orthopaedic & Spine Center's ambulatory surgical center physicians perform knee and shoulder arthroscopies, carpal tunnels and pain management procedures. The facility includes an x-ray machine for guided injections and two physiatrists. The facility is accredited by the Accreditation Association for Ambulatory Health Care. The practice of Blue Ridge Orthopaedic & Spine Center also includes aquatic physical therapy, massage therapy, rehabilitation and medical nutrition therapy.
Bluegrass Orthopedic Surgery Center (Lexington, Ky.). Bluegrass Orthopaedics and Hand Care developed the Bluegrass Orthopaedics Surgical Division to offer outpatient surgical care in 2006. The surgery center received certification from the Accreditation Association for Ambulatory Healthcare since opening the center. The practice also includes a High Field Short Bore MRI scanner and physical therapy services. The ASC includes 10 physicians who have special interests in minimally invasive spine surgery, sports medicine, hand surgery, foot surgery and total joint replacement. The ASC is associated with Practice Partners in Healthcare.
Boston Out-Patient Surgical Suites (Waltham, Mass.). BOSS opened in July 2004 and specializes in orthopedics and pain management. The center sold majority interest to AmSurg in 2010 and has maintained profit margins above 50 percent. It features 19 orthopedic surgeons from five practices: Greater Boston Orthopedic Center, Longwood Orthopedic Associates, Boston Sports, Excel Orthopedic Specialists, Shoulder Center, Cartilage Repair Center Arthroscopy Sports Medicine & Minimally Invasive Associates and Pro Sports Orthopedics. The center is lead by administrator Gregory DeConciliis. BOSS is accredited by the Accreditation Association for Ambulatory Health Care.
Boulder (Colo.) Surgery Center. The center, opened in 2005, is a partnership between physician-owners and Boulder Community Hospital. With 21 surgeons, the facility covers orthopedics, podiatry and pain management. The physicians come from CU Sports Medicine, Colorado Hand & Arm PC, Boulder Orthopedics, Orthopedic Professional Association, Boulder County Foot and Ankle Care, Mapleton Hill Orthopedics and The Hand Center. ASC administrators focus on teamwork and keeping staff numbers small to facilitate a vested interest in the success of the center. Boulder Surgery Center is accredited by the Joint Commission.
California Specialty Surgery Center (Mission Viejo). Physicians at California Specialty Surgery Center perform several cases in the outpatient setting, including complex joint reconstruction, minimally invasive spine surgery, fracture fixation, arthroscopic surgery and pain management procedures. The surgery center is lead by medical director Jerald Waldman, MD, and nurse administrator Nenet Sepulveda. Dr. Waldman is a spine surgeon and a member of the practice management committee of the North American Spine Society. The ASC is affiliated with the management company Physicians Surgery Centers.
Capital Region Ambulatory Surgery Center (Albany, N.Y.). Capital Regional Ambulatory Surgery Center opened in November 2000. It includes four operating room and one procedure room. Physicians from The Bone and Joint Center, Capital Regional Spine and Capital Regional Orthopaedics perform cases at the center. The physicians focus on minimally invasive spine surgery, sports medicine and extremities care. The facility is accredited by the Accreditation Association of Ambulatory Health Care.
Carrillo Surgery Center (Santa Barbara, Calif.). Carrillo Surgery Center was founded in 2005 by Alan Moelleken, MD, who also founded and chairs the Tri-County Spine and Orthopedic Conference. There are several procedures performed at the two-OR facility, including lower extremity surgeries, general orthopedic procedures and interventional pain management. Surgeons also perform more unique procedures in the outpatient setting, including total knee replacements, minimally invasive posterior spinal fusions with posterior/transforaminal lumbar interbody fusions, sacroiliac joint fusions and cervical artificial disc replacements. Carrillo Surgery Center is accredited to keep patients for 23 hour stays, which allows for some of the more complex procedures.
Cascade Orthopaedic Ambulatory Surgery Center (Auburn, Wash.). Cascade Orthopaedic Ambulatory Surgery Center was established in 1999 and moved to a new facility in October 2000. Founded by the surgeons of Cascade Orthopaedics, the surgery center includes three operating rooms and fully equipped preoperative and postoperative anesthesia care units. Surgeons perform several orthopedic procedures, including arthroscopic surgery, at the center on a daily basis. Cascade Orthopaedics also includes a spine center, diagnostic imaging, physical therapy, massage therapy and ultrasound services. The center is Medicare-certified and accredited by the Accreditation Association for Ambulatory Health Care.
Cedar Park (Texas) Surgery Center. Physicians at Cedar Park Surgery Center perform orthopedic, spine, pain management and general surgery procedures, as well as urology and gynecology. The surgery center was opened in 2011 and includes five operating rooms and medical office space. The 10,000-square-foot facility selected Arise Healthcare as its operating partner. At the surgery center, physicians can perform minimally invasive spine stabilization, advanced biologics in spinal reconstruction, artificial disc replacement, degenerative scoliosis surgery, rotator cuff repair, Bankart procedure and hip and knee replacements.
Center for Ambulatory Surgery (West Seneca, N.Y.). With four surgery suites, five endoscopy suites and space available for more growth, this 18,000-square-foot center provides outpatient surgical services to a large area of greater Western New York. In addition to orthopedics, the ASC covers gastroenterology, general surgery, ophthalmology, gynecology, podiatry, urology and reconstructive surgery. Its current annual volume equals more than 15,000 procedures. It is a 50-50 equity partnership between 16 physician-owners and The C/N Group, which provides management services, including all administrative functions of the facility. It is accredited by the Accreditation Association for Ambulatory Health Care.
Central Maine Orthopaedics ASC (Auburn). Central Maine Orthopaedics includes a built in surgery center where surgeons perform around 2,000 procedures annually. Several services are offered at the ASC, including arthroscopic surgery, extremities surgery, ACL procedures, injections and hardware removal. Pain management is also offered at the facility, which is accredited by the AAAHC. The ASC has two operating rooms and is affiliated with the Orthopaedic Institute of Central Maine and Maine Sipinecare, which was founded by CMO.
Central Park Surgery Center (Austin, Texas). Central Park Surgery Center physician-partners include six orthopedic surgeons from Austin Sports Medicine and Austin Bone and Joint and two neurosurgeons from The Spine and Rehab Center. Several additional physicians are actively credentialed to use the center. The center is managed by Symbion. In addition to orthopedics, it hosts pain management, ENT, general surgery and plastic surgery. It is accredited by the Joint Commission.
The Center for Orthopedic Surgery (Van Nuys, Calif.). The Center for Orthopedic Surgery was developed and operated by physicians at Southern California Orthopedic Institute and is located within the practice. There are 32 physicians at the institute, performing a variety of orthopedic surgeries. The center pioneered the development of arthroscopic surgical procedures, particularly in the shoulder, wrist and ankle. Additional services include physical therapy and MRI. Physicians at the center are also involved with the Southern California Orthopedic Research and Education Center, a non-profit established in 1998 for research, education and publishing ventures. The Center for Orthopedic Surgery was accredited by the Accreditation Association of Ambulatory Health Care.
The Center for Specialized Surgery (Fort Myers, Fla.). This 9,102-square-foot facility was opened last year and includes three operating rooms and is licensed by the Agency for Healthcare Administration. The center is located next to the Orthopedic Specialists of Southwest Florida, which includes hip and knee care, joint replacement, sports medicine and pain management. The practice also includes physical therapy and rehabilitation services. The Center for Specialized Surgery is affiliated with Regent Surgical Health.
Charlotte Surgery Center (Charlotte, NC). Opened in 1985, this multi-specialty partnership between Surgical Care Affiliates (SCA) and local physicians features seven ORs. Of the more than 12,000 cases performed annually at the facility, nearly half are orthopedic. Charlotte Surgery Center is a major player in sports medicine being home to several NFL, NBA, MLB and NHL team physicians. A such, they perform many hand, foot, ankle and pain procedures—more than 3,000 annually—with plastic surgeries and podiatry, GYN and ophthalmologic procedures making up the balance. The facility is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and boasts a customer satisfaction rate of 99 percent.
The Christ Hospital Spine Surgery Center (Cincinnati). This freestanding ASC, featuring 13 neurosurgeons and one pain management physician, is a partnership between the Mayfield Clinic, The Christ Hospital and United Surgical Partners International. When Mayfield Clinic founded the ASC in 2007, it was the first freestanding center in the region to provide spine surgery. Since then it has performed more than 10,000 spine procedures, which include single- and multi-level lumbar laminectomies, single- and multi-level anterior cervical discectomies and fusions and single-level spinal cord decompression. The surgery center features three operating rooms, one pain management suite and 11 pre- and postoperative patient rooms.
Christiana Spine Center (Newark, Del.). Physicians at Christiana Spine Center perform minimally invasive spinal procedures in their outpatient facility, which has its main office on the Christiana Hospital campus. Christiana Spine Center has been operating in that location since June 2000 and the surgery center is accredited by the Accreditation Association for Ambulatory Health Care. In addition to clinical care, the nine physicians are also engaged in research to further their field.
Citrus Park Surgery Center (Tampa, Fla.). This two-OR center covers spine and orthopedic surgery as well as pain management and plastic surgery. One of this center's surgeons, Robert Nucci, MD, is founder of the Nucci Spine and Orthopedic Institute in Tampa. Dr. Nucci focuses on minimally invasive outpatient lumbar fusions and multi-level outpatient cervical disc replacements. He was among the first physician to actively employ Bio-Plex in his surgeries, a standard that is now used in a wide range of orthopedic surgeries.
City Place Surgery Center (Creve Coeur, Mo.). Founded in 2000, this orthopedic surgery center is located outside of St. Louis and has four ORs and 19 physician partners. It joined Meridian Surgical Partners in September 2010. The 13,200-square-foot, Medicare-certified facility has also been accredited by the Accreditation Association for Ambulatory Health Care. Operations are led by Administrator Carol Hollowood, CASC.
Commonwealth Outpatient Surgery Centers (Fairfax and Herndon, Va.). Physicians at Commonwealth Outpatient Surgery Centers perform an average of 4,400 surgeries per year between the two ASCs — one located in Fairfax, Va., and the other in Herndon. The surgery centers are accredited by the Accreditation Association for Ambulatory Health Care. The physicians of Commonwealth Orthopaedics perform cases in the surgery center. They have a special interest in outpatient orthopedic surgery, pain management and spine care. The practice was established in 1994 as a merger between four physician groups and continued to grow over the next several years. It opened its first ASC in 1999 and the second in 2001.
Concord (N.H.) Orthopedics Surgery Center. The ASC was opened in February 1995. It is a collaborative effort between the physicians of Concord Orthopaedics and the Concord Hospital. Concord Orthopaedics surgeons have a special interest in foot and ankle surgery, hand surgery, orthopedic traumatology, osteoporosis, pediatric orthopedics, rheumatology, scoliosis, spine care, sports medicine and total joint surgery. The practice also includes X-ray, MRI, electrodiagnostic testing and spinal injections.
Crane Creek Surgery Center (Melbourne, Fla.). Crane Creek Surgery Center was founded in 2008 by physicians from Osler Medical Group and Blue Chip Surgical took over management a year later. The 14,000-squre-foot surgery center includes four operating rooms and two procedure rooms. Surgeons perform orthopedics, spine, general surgery, pain management and urology. Surgeons perform complex spinal procedures and diagnostic testing. In addition to the surgical facility, there is an auditorium for educational programs for the public and staff, as well as a venue for training visiting residents and physicians. The facility also includes an O-Arm Imaging System from Medtronic.
Creekside Surgery Center (Anchorage, Ala.). Creekside Surgery Center began seeing patients in November 2010 and is led by administrator Sue Sumpter. Ms. Sumpter was hired to increase patient volume in March 2011 and has since implemented a total joint replacement program at the center. She is also working to bring spine cases to the ASC as well. The surgery center has four operating rooms and 17 physician owners. In addition to orthopedics, physicians at the surgery center specialize in ENT, podiatry and pain management.
Delmarva Surgery Center (Elkton, Md.). After opening in 2008, Delmarva Surgery Center began treating patients in 2009 and achieved Accreditation Association for Ambulatory Health Care accreditation in 2010. This ASC has one operating room and three procedure rooms, with the average number of encounters increasing each year by 500. Despite having a payor mix of 80 percent Medicare and Medicaid, the surgery center continues to sustain growth and recently passed a survey by the State of Maryland Department of Health and Mental Hygiene. In the near future, the surgery center plans to open a three-procedure room surgery center in Newark, Del. Recently, the ASC participated in the AAAHC low back pain benchmarking study.
Diagnostic and Interventional Surgical Center (Marina del Rey, Calif.). This center, opened in 2007, features 20 physicians, including seven spine surgeons and eight orthopedic surgeons. To reduce infections in this 7,200-square-foot facility, the air throughout center is constantly cleansed by a 100 percent HEPA filtration system, surpassing conventional standards. DISC is the official medical provider for Red Bull North America athletes and Los Angeles Kings. It is accredited by the Accreditation Association of Ambulatory Health Care.
Doctor's Outpatient Surgical Center (Beverly Hills, Calif.). The physicians of Beverly Hills Spine Surgery founded Doctor's Outpatient Surgical Center in 2009, along with a pain management group. The surgery center has six partners and eight physicians total performing cases in the ASC. The surgery center includes two operating rooms where surgeons perform discectomies, TLIF, ACDF, posterior cervical decompression, pain management injections and spinal cord stimulators, among other procedures. Founding partners Brian Perri, DO, and Khawar Siddique, MD, frequently teach national spine surgical courses.
DuPage Orthopaedic Surgery Center (Warrenville, Ill.). DOSC is owned and operated by physicians of OAD Orthopaedics. The practice encompasses 22 physicians, including four spine surgeons. Surgeons perform arthroscopy, small joint surgery, microsurgery, lumbar microdiscectomy and fracture care in the surgery center. Since the facility opened in 2006, it has doubled the number of ORs from two to four. DuPage Orthopaedic is accredited by Accreditation Association for Ambulatory Health Care.
East Portland Surgery Center (Portland, Ore.). Specialists at East Portland Surgery Center provide orthopedic, neurosurgery, general surgery and pain management services. The surgery center is affiliated with Legacy Health, United Surgical Partners International and led by administrator Jim Sergeant. Additional services include ear, nose and throat specialists and ophthalmology. The surgery center has four operating rooms and two treatment rooms. It is accredited by the Accreditation Association for Ambulatory Health Care and is Medicare certified.
East Surgery Center (Bradenton, Fla.). Coastal Orthopedics & Pain Management was founded in 2000 and opened its 10,000-squre-foot East Surgery Center in 2009. The surgery center includes two operating rooms and one procedure room. All types of orthopedic and pain management cases are performed at the center, including a large volume of arthroscopy and hand surgery procedures. There are currently nine physician partners and 14 physicians bringing cases to the ASC. Physicians at the center include team physicians for the Tampa Bay Buccaneers, USA Soccer and Pittsburgh Pirates. The surgery center doesn't include ancillary services, but the Coastal Orthopaedics & Pain Management offices have additional services such as physical therapy, imaging and orthopedic bracing equipment.
Eastwind Surgical (Westerville, Ohio). The 10,350-square-foot Eastwind Surgical facility opened in 2007 as a multispecialty surgery center. It was established by the physicians of Central Ohio Neurological Surgeons and accredited by the Ohio Association of Ambulatory Surgery Centers and Accreditation Association for Ambulatory Health Care. The center became a Meridian Surgical Partners facility in July 2011. The facility is among the only surgery center in Ohio to offer the Axis Jackson Surgical Table for spinal procedures. The surgeons perform several procedures, including lumbar discectomy and decompression, lumbar fusion, anterior cervical discectomy, carpal tunnel release, epidural steroid injections, facet blocks and sacroiliac joint injections. Eastwind is under the leadership of administrator Lynn S. Feldman.
Edmonds (Wash.) Orthopedic Outpatient Surgery Center. The outpatient surgery center of Edmonds Orthopedic Center is accredited by the Accreditation Association for Ambulatory Health Care. Physicians affiliated with the center have a range of special interests, including minimally invasive knee surgery, sports medicine and shoulder care. The ASC includes three operating rooms, one diagnostic room and a dedicated radiographic C-arm. Edmonds Orthopedic Center also includes physical therapy and hand therapy services as well as MRI.
Englewood (Colo.) Surgery Center. Englewood Surgery Center is located on Colorado Comprehensive Spine Institute's main campus and provides customized spine care. Physicians have a special interest in several areas of spine care, including minimally invasive spine surgery, cervical disc replacement and spinal fusion. The ASC includes six physicians who provide spine surgery and pain management. The practice also includes physical therapy and MRI.
Everett (Wash.) Bone & Joint Surgery Center. Everett Bone & Joint Surgery Center was established in 2000 as the first freestanding orthopedics-focused ambulatory surgery center in Snohomish County to receive the Joint Commission accreditation. It was founded by the surgeons of Everett Bone & Joint, a Proliance Surgeons practice. The physicians have a special focus on sports medicine, extremities care and spine care. The practice also includes X-ray and MRI.
Evergreen Orthopedic Clinic Surgery Center (Kirkland, Wash.). Evergreen Orthopedic Surgery Center includes physicians who subspecialize in sports medicine, spine and extremities care. The surgery center is on the first floor of the facility, with the second floor housing Evergreen Orthopedic Clinic and Evergreen Orthopedic Physical Therapy. MRI diagnostics is also available at the surgery center, which is accredited by the American Association of Ambulatory Health Care.
Executive Woods Ambulatory Surgery Center (Albany, N.Y.). The physicians of Northeast Orthopaedics established Executive Woods Ambulatory Surgery Center in 2000. The facility has three operating rooms and is accredited by the Accreditation Association for Ambulatory Health Care. Surgeons perform several procedures at the facility, including arthroscopic surgery, ACL reconstruction, foot surgery and hand procedures. Northeast Orthopaedics is an 18-physician group with six office locations that include X-ray facilities.
Fairfield Surgical Center (Fairfield, Conn.). The center is affiliated with Orthopedic Specialty Group, which has 17 surgeons working at three locations. Physicians at the center perform arthroscopic surgery of the ankle, knee, shoulder, elbow and wrist ligament. Knee reconstruction procedures include both anterior and posterior cruciate ligament procedures. Additional services include hand surgery, rotator cuff repair, foot and ankle surgery, fracture management and Carticel cartilage replacement. The center is accredited by the Accreditation Association of Ambulatory Health Care.
First Choice Surgery Center (Baton Rouge, La.). First Choice Surgery Center in Baton Rouge, La., is the ASC of The Feldman Institute, the practice of interventional pain management specialist Arnold Feldman, MD. Dr. Feldman provides minimally invasive spine and interventional and chronic pain treatments, and his services include diagnostic and therapeutic injections, discography, ablative procedures such as intrathecal pumps, dorsal column stimulators, radiofrequency and micro-endoscopic laser procedures. First Choice Surgery Center features three large, fully equipped and fully staffed operating rooms, examination rooms, pre-operative and postoperative recovery areas and a comfortable reception area for patients' family and friends. Its operating rooms are equipped with the latest technology, anesthesia modalities and equipment.
Fremont (Calif.) Surgery Center. Fremont Surgery Center was founded in 1996 and grew into a new facility in 2000, and then again in 2006. The newest 20,000-square-foot facility includes seven operating rooms, four procedures suites and a 24-bed pre-operation space as well as a PACU with two overnight private rooms. Orthopedic surgeons at the center include team physicians or the Golden State Warriors, Oakland Raiders and San Jose Sharks. The ASC has accreditation from the American Association for Accreditation of Ambulatory Surgery Facilities and is Medicare-certified.
Front Range Orthopedic Surgery Center (Longmont, Colo.). Founded in 1970, Front Range Orthopedic Surgery Center is designed for orthopedic surgery and services. It is located on the Longmont Medical Campus and physicians provide care in several orthopedic areas, including hand, shoulder, spine, sports medicine foot and ankle and joint replacement. The surgery center features digital imaging, MRI and electronic medical records. The ASC is accredited by the Accreditation Association of Ambulatory Health Care and certified by Medicare.
Frontenac (Mo.) Surgery Center & Spine Care. Frontenac Surgery Center & Spine Care is led by Administrator Kelly Miller. The multispecialty surgery center includes 11 physicians who have a special interest in orthopedics, spine and pain management, among other specialties. The surgery center is an affiliate of United Surgical Partners International and accredited by the Accreditation Association for Ambulatory Health Care. It has two operating rooms and three procedure rooms.
Gardendale Surgical Center (Birmingham, Ala.). Opened in May 2010, Gardendale Surgical Center has already doubled from two to four operating rooms. The 15,000-square-foot center also grew from one to two procedure rooms and includes gastroenterology, pain management, gynecology and ophthalmology procedures as well as orthopedics. Surgeons from Gardendale Surgical Associates perform cases at this AAAHC-accredited and Medicare certified facility. The surgery center is affiliated with Practice Partners in Healthcare.
Glendale (Calif.) Outpatient Surgery Center. This ASC includes orthopedics, spine, pain management, podiatry, plastic surgery and gynecology, among other specialties. Spine procedures at the ASC include herniated disc repair and treatment for bone spurs. Glendale Outpatient Surgery Center includes an overnight area where patients can stay up to 23 hours. There are three operating rooms and one fully-equipped procedure room in this 9,000-square-foot facility. The facility has achieved Accreditation Association for Ambulatory Health Care and certified by Medicare.
GNS Surgery Center (Athens, Ga.). This 8,000-square-foot surgery center is focused on providing spinal procedures. The ASC includes two operating rooms where five spine surgeons perform procedures. The center is affiliated with Georgia Neurological Surgery, Georgia Comprehensive Spine and Blue Chip Surgery Center Partners. Accredited by the AAAHC and certified by Medicare, this surgery center is designed for patient comfort. The center also includes pain management and interventional pain procedures.
Greensboro Specialty Surgical Center (Greensboro, NC). The addition of 11 neurosurgeons in 2011 has contributed to substantial financial and volume growth for this multi-specialty surgery center managed by Surgical Care Affiliates (SCA). 2012 saw record volume at the facility, which has been in operation since 1996, and was inclusive of 437 ACDF, kyphoplasty and lumbar procedures. The facility team is focused on providing excellent clinical care for their patients as well as the best possible service to their physicians. All clinical teammates are certified in their areas of expertise. Greensboro Specialty also performs a large volume in pain procedures in addition to podiatry, ophthalmology, gastroenterology, oral/maxillofacial, orthopedics and plastic surgeries.
Greenspring Surgery Center (Baltimore). Opened in January 2007, Greenspring Surgery Center has one operating room and two procedure rooms. The 6,300-square-foot facility is affiliated with Blue Chip Partners and accredited by the Accreditation Association for Ambulatory Health Care. The 15 orthopedic and spine surgeons at the center perform a variety of procedures, including knee arthroscopy, ligament repair, shoulder impingement treatment and lumbar and cervical spine surgery. The facility also includes pain management.
Hand Surgery Center (Clifton, Ohio.). Eight hand surgeons use this center, which was founded in 1998. It is a joint venture between Hand Surgery Specialists and TriHealth, a healthcare system made up of 360-bed Bethesda North Hospital and 460-bed Good Samaritan Hospital. Hand Surgery Specialists has locations in Cincinnati and Northern Kentucky and serves about 25,000 outpatients a year. Hand Surgery Center has the maximum Accreditation Association of Ambulatory Health Care accreditation.
The Hand Surgery Center (New York City). The Hand Surgery Center is led by Charles P. Melone, MD, the director of hand surgery at Beth Israel Medical Center in New York City. The surgery center services approximately 10,000 patients and physicians perform 1,800 operations annually. Procedures performed at the ASC include correction for complex upper extremity disorders, distal radius fractures, arthritis and problems associated with scleroderma. The physicians also have a special interest in treating sports injuries and have provided care for professional athletes.
Hawthorn Surgery Center (Libertyville, IL). Opened in 1980, this licensed multispecialty surgery center is home to 45 physicians, including those of Orthopod, LLC, formed in 2003 and consisting of 12 orthopedic physicians. Orthopedic procedures comprise 80 percent of the procedures performed in the facility's three ORs, with pain (15 percent) and ENT, dental and podiatry (5 percent) making up the remainder. Hawthorn has experienced volume growth increases of 10 percent year over year for the last three years, and expects similar increases in the future; the center (now 7,000 sq. ft.) will relocate to a new, freestanding facility (15,200 sq. ft.) in February 2014. The center is accredited by the ICAHO and achieved an impressive patent satisfaction rate of 98 percent in 2012.
High Pointe Surgery Center (Lake Elmo, Minn.). High Pointe Surgery Center performed its first case in February 1999 and Surgical Management Professionals joined the center in 2000. The ASC was originally founded by several independent physician groups and Lakeview Hospital. The surgery center includes five operating rooms and one procedure room where physicians perform cases such as knee and shoulder arthroscopy, pain management procedures and laminectomies. Surgeons at the center performed their first unicompartmental knee replacement and plan to begin performing total knee replacements in the next four to six months. In the future, the surgery center plans to incorporate cervical fusions and total shoulder and hip replacements into the mix as well. There are 25 physician owners and 36 physicians performing cases at the center.
Honolulu (Hawaii) Spine Surgery Center. This Symbion center involves three orthopedic surgeons and five neurosurgeons. It hosts such services as hand surgery, minimally invasive spine procedures, neurosurgery, interventional orthopedics and pain management. The 7,800-square-foot center opened in 2007. It has two ORs and a private recovery room and provides a wide variety of equipment for minimally invasive surgeries.
Hudson Crossing Surgery Center (Fort Lee, N.J.). Hudson Crossing Surgery Center has cared for 30,000 patients since opening in 2005 and achieved Accreditation Association for Ambulatory Health Care accreditation. The ASC includes a 14-bed PACU and 23-hour stay capabilities. In addition to orthopedics, spine and pain management, surgeons perform plastic surgery, podiatry and urology procedures there. The ASC has more than 50 specialists and three orthopedic and spine surgeons make up the board of directors for the center.
Hyde Park Surgery Center (Austin, Texas). Hyde Park Surgery Center was opened in June 2008 and is 100 percent physician-owned. The facility was founded by four orthopedic surgeons who wanted a place where they could provide the community with an outpatient center devoted to healthcare services, according to Administrative Director Jami Osterlund, RN. There are three operating rooms in this multispecialty facility where orthopedic surgeons perform various procedures, such as shoulder and knee scopes. The hip and knee surgeons are looking to begin performing total joint replacements in the center, which also offers 23 hour observation suites. Spine surgeons perform anterior cervical discectomy with fusion.
Illinois Sports Medicine & Orthopedic Surgery Center (Morton Grove, Ill.). The center has four ORs and one procedure room. It includes 18 orthopedic surgeons, nine podiatrists, three pain management physicians and 15 anesthesiologists. The orthopedic surgeons cover arthroscopies, ACL reconstructions, arthroplasties, carpal tunnel releases, meniscectomies, open reduction internal fixations, arthroscopic Bankart procedures and rotator cuff repairs. Spine procedures performed at the ASC include laminectomies, microdiscectomies, anterior cervical discectomies and fusions. There is an on-site laboratory and radiological services. The facility is accredited by the Accreditation Association for Ambulatory Health Care.
Institute for Minimally Invasive Surgery (Dallas). Institute for Minimally Invasive Surgery was opened in fall 2011. The 9,255-square-foot surgery center includes two operating rooms and one procedure room. It was designed for surgeons to perform minimally invasive spine surgery and includes the O-arm Spine Surgical Imaging system with StealthStation Navigation. Minimally invasive discectomies, decompressions, cervical disc replacement and percutaneous lumbar fusions are performed at the ASC. Surgeons partnered with Meridian Surgical Partners to construct the center. It is a member of the Ambulatory Surgery Center Association.
The Institute of Orthopaedic Surgery (Las Vegas). Established by physicians at Desert Orthopaedic Center, the ASC opened in May 2002. It has four ORs and one procedure room. Its 18 physician-owners practice at Desert Orthopedic Center, which focuses on sports medicine. Surgeries at the ASC include on knees and shoulders, hand, foot and ankle procedures. A 2008 focus survey by the Nevada Bureau of Licensure and Certification found the institute to have zero regulatory deficiencies. It accredited by the Accreditation Association for Ambulatory Health Care.
Kerlan-Jobe Surgery Center (Los Angeles). Southwestern Orthopaedic Medical Group was founded in 1965 by Robert Kerlan, MD, and Frank Jobe, MD, and would later become named the Kerlan-Jobe Orthopaedic Clinic. The Kerlan-Jobe Surgery Center, an affiliate of Surgical Care Affiliates, was established in 1997. The surgery center offers orthopedic surgery and pain management services.
Kirby Surgical Center (Houston). Kirby Surgical Center opened in 2004 and offers a variety of orthopedic and spine procedures. Administrator Ranny Watson says the ASC has achieved 95 percent patient satisfaction and has been accredited by the Accreditation Association for Ambulatory Health Care. Uday Doctor, MD, of Spine Care Consultants, is chairman of the ASC, which includes affiliations with eight physicians and Northstar Healthcare. The ASC also includes ENT and general surgery.
Knoxville (Tenn.) Orthopaedic Surgery Center. Opened in January 2010, Knoxville Orthopaedic Surgery Center was founded by the physicians of Knoxville Orthopaedic Clinic. The practice, which was founded in the mid-1930s, includes subspecialists in sports medicine, extremities care, adult reconstructive surgery, spine and pediatrics. KOSC recently completed an expansion and is now a six-operating room facility and has one procedure room. It is a division of OrthoTennessee. Knoxville Orthopaedic Clinic also includes OrthoTennessee Therapy and the providers are the orthopedic surgeons for the University of Tennessee athletic department.
KSF Orthopedic Surgery Center (Houston). KSF offers 12 physicians with many subspecialty services. The three-OR facility has been affiliated with United Surgical Partners International since 2007. USPI owns 45 percent of the facility and KSF physicians own the rest. After opening as a practice in February 1976, KSF physicians performed some of the first arthroscopic procedures in the Houston area. The practice also features complete orthopedic radiologic imaging, physical therapy and a hand therapy rehabilitation center.
Lake Ridge ASC (Woodbridge, Va.). Lake Ridge Ambulatory Surgery Center is a joint venture between local surgeons and Sentara Potomac Hospital. This 9,500-square-foot facility opened in 2012 and includes one operating room and one procedure room. The center is affiliated with Blue Chip Surgical Partners and provides orthopedics, spine and pain management services. The facility is located on the second floor of Sentara Lake Ridge on an outpatient medical campus which also includes 24-hour emergency care, advanced imaging and laboratory services.
Laser Spine Institute (Tampa, Fla.). Headquartered in Tampa, Laser Spine Institute also includes ASCs in Wayne, Pa., Scottsdale, Ariz., and Oklahoma City. Through endoscopic spine surgery, Laser Spine Institute's mission is to expand healthcare options for patients and is help them achieve a better quality of life. Laser Spine Institute treats a variety of spinal conditions, including spinal stenosis, degenerative disc disease, pinched nerves, bone spurs, bulging/herniated discs and sciatica. It boasts an electronic medical record system, imaging services, family waiting room with free catered breakfasts and lunches, zero-gravity chairs and computers with free Internet access.
Lattimore Surgical Center (Rochester, N.Y.). Lattimore County Surgicenter was established in 1990 and is currently one of the oldest free-standing surgery centers in the Rochester area. It is accredited by the Accreditation Association for Ambulatory Health Care and Medicare-certified. In addition to orthopedic surgery, physicians at the center provide podiatry, general surgery and plastic surgery. There are four operating rooms and two procedure rooms.
Lincoln (Neb.) Orthopaedic Center. Founded in 1948, Lincoln Orthopaedic Center includes surgeons who have a special interest in sports medicine, joint replacement and spine. The practice also includes an outpatient surgery center as well as imaging and bracing services. The practice physicians were recently announced as team physicians for the Lincoln Haymakers indoor football team and continue to serve several other area athletic teams. Matthew Reckmeyer, MD, is president of the surgery center and Doug Wyatt is administrator.
Linden Surgical Center (Beverly Hills, Calif.). Linden Surgical Center was founded in January 2011, and is fully accredited by AAAHC. In addition to orthopedics and pain management, the ASC offers otolaryngology, gynecology, plastic surgery, urology and general surgery. MedBridge President David W. Odell led efforts to re-establish Linden Surgical Center — previously Linden Crest Surgery Center.
Leona M. and Harry B. Helmsley Ambulatory Surgical Center (Greenwich, Conn.). Surgeons with the Orthopaedic and Neurological Center of Greenwich perform cases at the Leona M. and Harry B. Helmsley Ambulatory Surgical Center. The ASC includes four operating rooms with technology such as high definition video cameras for arthroscopy. The practice also includes physical therapy, physiatry and MRI. The ASC is a joint venture between Greenwich Hospital and Orthopaedic & Neurosurgery Specialists, and opened in April 2011. Procedures include ACL reconstruction, knee arthroscopy and minimally invasive spine procedures.
Lewis & Clark Outpatient Surgery Center (Lewiston, Idaho). Lewis & Clark Orthopaedic Institute was founded in 1973and has grown significantly since then. The physicians of Lewis & Clark Orthopaedic Institute began construction on their outpatient surgery center in 2003 and opened its doors in 2004. The surgery center is owned by five of the physicians and includes two operating rooms and a minor procedure room. The physicians anticipate a case load of 2,000 outpatient surgeries per year. The practice also includes imaging services.
Long Island (N.Y.) Hand & Orthopedic Surgery Center. Established by Jerry Ellstein, MD, and Neal Hochwald, MD, this surgery center is accredited by the AAAHC and certified by Medicare. Physicians have a special interest in hand and upper extremity surgery, and treat several conditions including fractures, sports injuries and joint replacement. The practice also works with certified hand specialists in physical and occupational therapy.
Loveland Surgery Center (Loveland, Colo.). Loveland hosts about 3,400 orthopedic, spine, pain management and ENT procedures annually. It has seven physician-owners. The center's spine program was an early adopter of the level-three Prestige cervical disc replacement, the Coflex device, the multi-level NeoDisc replacement and the Dynamic Stabilization System for a posterior lumbar fusion, according to Sue Sumpter, administrator of the center. Loveland Surgery holds a convalescent license, allowing it to cover more complex surgeries. The surgery center is accredited by The Joint Commission.
Main Street Specialty Surgery Center (Orange, Calif.). Main Street Specialty Surgery Center was founded in 2000 and includes five operating rooms with two procedure rooms. The ASC is a partnership between physicians who perform around 7,000 operations at the ASC on an annual basis. Jeff Bernhardt, NR, BSN, PHN, CNOR, is clinical director and nurse administrator. Services at the center include ACL reconstruction, rotator cuff repair, minimally invasive spine surgery and pain management. Other specialties at the center are gastroenterology, general surgery, podiatry and urology.
Marietta (Ohio) Surgery Center. This two-OR center, operated by Regent Surgical Health since 2005, currently has seven physician-owners and focuses on orthopedics and pain management. It was founded by five orthopedic surgeons in June 2000. In 2010 it merged with Marietta Memorial Hospital. Employee satisfaction stands at 88.8 percent and patient satisfaction at 98 percent, as reported to CTQ Solutions. The surgery center includes six large surgical suites and four specialty procedure rooms. The center is accredited by the Accreditation Association for Ambulatory Health Care.
Manitowoc Surgery Center (Manitowoc, Wis.). Surgeons perform both total knee and total hip replacement procedures at Manitowoc Surgery Center using minimally invasive techniques. The physicians of Orthopaedic Associates of Manitowoc bring their cases to the center, which is also certified for 23-hour convenience stays. For post-surgical care, the center includes a rehabilitation facility. The ASC is accredited by the Accreditation Association of Ambulatory Health Care.
Massachusetts Orthopaedic Ambulatory Surgery Center (Boston). The MGH Orthopaedic Ambulatory Surgery Center is a free-standing outpatient surgical facility and includes shoulder service, extremities care, sports medicine service and hip arthroscopy. The facility includes outpatient operating rooms and access to the Mass General West pharmacy. The surgery center opened in 2006.
Mayfield Spine Surgery Center (Cincinnati, Ohio). Founded in 2005, Mayfield Spine Surgery Center is a free-standing ASC that provides spine, neurosurgery and pain management services to the Cincinnati area. The medical staff also includes physiatrists and anesthesiologists. Procedures performed at the ASC include minimally invasive discectomies and spinal fusions. The center features three operating rooms, one pain procedure suite and 11 patient rooms. Each patient room includes amenities, such as a flat screen television, for the patient's pre- and postoperative stays at the center.
Memorial Spine & Neuroscience Center (South Bend, Ind.). Memorial Spine & Neuroscience Center offers minimally invasive spine surgery, peripheral nerve surgery and pain management procedures. There are seven physicians affiliated with the facility, which is located outside of Memorial Hospital.
Microsurgical Spine Center (Puyallup, Wash.). Microsurgical Spine Center is the outpatient surgical facility developed by Richard Wohns, MD in 2001. The surgery center includes two operating rooms and is accredited by the AAAHC. The ASC is located within The Brain & Spine Center, which includes the physician practice South Sound Neurosurgery. The surgeons perform a variety of outpatient minimally invasive spine procedures including decompressions, multi-level fusions and cervical disc arthroplasty and also provides interventional pain management services at the ASC.
Middlesex Center for Advanced Orthopedic Surgery (Middletown, Conn.). Physicians bring sports medicine, foot and ankle and general orthopedic cases to Middlesex Center for Advanced Orthopedic Surgery. The facility is 50 percent owned by Middlesex Hospital and 50 percent owned by Orthos Holding Company, which includes 11 physicians. The surgery center is accredited by the Accreditation Association for Ambulatory Health Care and also includes pain management interventions.
Midlands Orthopaedics Surgery Center (Columbia, S.C.). Midland Orthopaedics has been in existence for more than 30 years, with its free-standing surgery center celebrating its sixth anniversary. The practice includes several orthopedic surgeons subspecializing in sports medicine, upper extremity, shoulder surgery, foot and ankle, pediatric and spine surgery. Midlands Orthopaedics also offers MRI services, and the surgery center features digital operating rooms, pre- and postoperative areas and minimally invasive surgery capabilities.
Midland Surgical Center (Sycamore, Ill.). Midland Surgical Center is a joint venture between a local health system, five orthopedic surgeons and Regent Surgical Health. It hosts eight orthopedic surgeons, two podiatrists, one plastic surgeon, four ophthalmologists and one pain management specialist. Spine procedures offered at Midland include nerve biopsy, disc decompression, laminotomy, vertebral copectomy and vertebroplasty. Orthopedic procedures include ligament repair, tendon repair, bone grafts, arthroscopy, ACL repair or reconstruction, partial knee replacements, meniscectomy, carpal tunnel release and rotator cuff repair. The facility has two operating suites has three-year accreditation from the Accreditation Association for Ambulatory Health Care.
Millennium Surgical Center (Cherry Hill, N.J). Millennium Surgical Center was opened in October 2007 and includes orthopedics, spine, pain management and podiatry. The facility is accredited by The Joint Commission. Surgeons perform a variety of procedures, including disc nucleoplasty, minimally invasive spine surgery, partial knee replacement, rotator cuff repairs and knee ligament reconstruction. There are 25 physicians affiliated with the center.
Minimally Invasive Spine Institute Health Campus (Dallas). This 48,000-square-foot center just opened in April 2011. It features four ORs, one minor procedure room and 16 recovery areas — all of which are private rooms. As part of a phased opening, it started with self-pay patients and then began accepting private insurance patients. It will be fully open to all patients summer 2011. The facility takes a holistic approach to healthcare by providing a full spectrum of treatment options, from physical therapy to surgical intervention. It is among the first in Texas to host endoscopic laser spine surgery.
Mississippi Valley Surgery Center (Davenport, Iowa). Surgeons at Mississippi Valley Surgery Center perform total joint replacement, cervical and lumbar spine surgery and arthroscopic hand and elbow surgery. The ASC is a member of the Mississippi Valley Health Network and affiliated with the network's independent physician practices. It was opened in 1996 and supported by a small group of physicians at that time. Since then, it has grown to accommodate approximately 12,000 procedures per year and is accredited by the Accreditation Association for Ambulatory Health Care. In addition to orthopedics, physicians perform GI, general surgery, ophthalmology and urology procedures at the center.
Missoula (Mont.) Bone and Joint Surgery Center. The facility specializes in orthopedic and plastic surgery and is located next to the offices of Missoula Bone & Joint, an eight-physician orthopedic practice. All of its orthopedic surgeons are board-certified in general orthopedics and many are fellowship-trained. Their subspecialties include sports medicine, joint replacements, hand and microvascular surgery, foot and ankle reconstruction and spine care. The ASC is recognized by the Accreditation Association for Ambulatory Health Care.
Mobile Surgery Center (Mobile, Ala.). Opened in 1984 as a partnership between Surgical Care Affiliates and local physicians, this multi-specialty center boasts an impressive volume of orthopedic surgeries. The center's mission is to be "A United Family Committed to Excellence" with clinical quality a top priority. Mobile Surgery Center's orthopedists specialize in the areas of sports medicine and spine surgery, as well as hand, foot and ankle. The center also does a large volume of pain procedures due to its heavy orthopedic practice. In fact, its three procedures rooms are specially designed for the use of pain physicians. The center has also been successful in podiatry, ophthalmology and GYN procedures. The facility was recently inspected by CMS/Medicare with no deficiencies as well as the Accreditation Association for Ambulatory Health Care having no deficiencies noted there as well.
Moore Orthopaedic Clinic Outpatient Surgery Center (Lexington, S.C.). This two-OR, 14 physician center, opened in late 2007. Developed and managed by Practice Partners in Healthcare, the center scores very high in all categories of patient experience. It includes 16 specialty-trained operative and nonoperative physicians, imaging specialists, rehabilitation therapists, athletic trainers and performance enhancement trainers. The center has access to electronic medical records, and patient MRIs and x-rays can be opened electronically and used in the OR.
Musculoskeletal Surgery Center (Tornton, Colo.). Physicians at Musculoskeletal Surgery Center have a special interest in orthopedics, podiatry and pain management procedures. Surgeons are also able to perform disc arthroplasty at the center. The center was founded in 2001 and includes three pre-operative stations, two operating rooms, two procedure rooms and it can accommodate 23-hour stays in its licensed convalescence center. Musculoskeletal Surgery Center is a HealthONE ASC and is led by Administrator Deborah Stewart, RN, and medical director Douglas Beard, MD.
Neurological Institute Ambulatory Surgery Center (Savannah, Ga.). The Neurological Institute Ambulatory Surgery Center includes multiple operating rooms and a procedure room. There are 10 physicians credentialed to perform cases at the center. The physicians have a special interest in minimally invasive procedures, artificial disc replacement and spinal fractures. It is accredited by the Accreditation Association for Ambulatory Health Care.
NeuroSpine Institute of Orlando ASC. NeuroSpine Institute of Orlando opened its first ASC in March 2013. Robert Masson, MD, a neurosurgeon with a special interest in spine injury and sports medicine, founded the Institute, which includes both orthopedic and spine specialists. NSI is the official medical provider for Gridiron Greats Assistance Fund and Dr. Masson recently also established a new clinic focused on patients with failed back surgery syndrome.
NeuroSpine and Pain Surgery Center (Ft. Wayne, Ind.). NeuroSpine is a joint venture between neurosurgeons and the physical medicine physicians of the NeuroSpine and Pain Center and Lutheran Hospital of Indiana. Opened in January 2007, NeuroSpine and Pain Surgery Center concentrates on solutions for neck and back surgery to treat low back pain, upper back pain, neck pain and muscle pain. In addition to the center's nine neurosurgeons, the center includes physical medicine and rehabilitation specialists. The facility houses three ORs, one procedure room, 10 pre- and postsurgical rooms and six recovery beds, allowing privacy and support during recovery. Patients have the ability to stay over night if necessary.
New Mexico Orthopaedic Surgery Center (Albuquerque, N.M.). New Mexico Orthopaedic has eight ORs and two treatment room after a recent expansion. The surgery center includes physicians who perform orthopedic surgery, pain management and podiatry. Led by administrator Jeff Thompson, the center's partners include more than 20 physicians and its corporate partner, United Surgical Partners International. The facility, which is accredited by the Joint Commission, is currently planning a $3.5 million expansion.
Newport Orthopedic Institute (Newport Beach, Calif.). Newport Orthopedic Institute includes a surgical center, physical therapy and imaging services. The physicians also have a partnership with Hoag Memorial Hospital on an orthopedic specialty hospital, Hoag Orthopedic Institute. The physicians have a special interest in joint replacement, spinal disorders, arthroscopic surgery, extremities care and pain management. The practice also includes a spine center and the physicians are affiliated with several local athletic events.
North Meridian Surgery Center (Carmel, Ind.). North Meridian Surgery Center is a freestanding physician-owned surgery center where surgeons from OrthoIndy and Indiana Spine Group perform cases. The ASC opened in 1994 and performs an average of 3,000 procedures per year. The center, which moved to a new location in 2011, includes physicians who perform orthopedic, spine and pain management cases. It is accredited by AAAHC and Medicare-certified.
Northeast Surgical Center of Newington (Newington, N.H.). Northeast Surgical Center of Newington was established in 2000 and accredited by the Accreditation Association for Ambulatory Health Care. The free-standing ASC is physician owned and affiliated with Access Sports Medicine & Orthopaedics in Exeter, N.H. The center includes a 470-squre-foot digital operating suite and offers a variety of outpatient surgeries. Access Sports Medicine & Orthopedics also includes an open MRI, rehabilitation services, interventional physiatry, sports enhancement training, athletic training, a concussion program and other rehabilitation. They include team physicians for the 2012 U.S. Ski Team.
NorthStar Surgical Center (Lubbock, Texas). NorthStar Surgical Center was established in 2001 by physicians in the Lubbock area. Orthopedics procedures at this Symbion center include rotator cuff repair, ACL repair, meniscus repair, lateral knee release and clavicle excision. There are 31 physician partners with the surgery center who focus on a variety of specialty procedures. Surgeons have treated a wide variety of patients at the surgery center, including professional athletes. Last year, the surgery center expanded to include total shoulder, knee and ankle replacement procedures.
Northern Wyoming Surgical Center (Cody, Wyo.). At Northern Wyoming Surgical Center, surgeons perform total knee replacement, total hip replacement and total shoulder replacements. The surgery center has been serving its community for more than 10 years and is a member of the Ambulatory Surgery Center Association. It has two operating rooms, a procedure room and capability for 23-hour stays. In addition to orthopedic joint replacements, surgeons at the center provide neurosurgery and spine care, general surgery, urology, endoscopy, ophthalmology and pain management.
Northview Orthopaedic Surgery Center (Dahlonega, Ga.). The physicians of Northview Associates perform cases at this surgery center. The practice includes two physicians with a special interest in sports medicine, extremities, spine and arthroscopic surgery. The practice has a partnership with Appalachian Physical Therapy and includes an imaging center. Administrator Jason Cox keeps the practice running, along with clinical manager Robin Milford.
NYU Langone Medical Center Outpatient Surgery. The NYU Langone Medical Center Outpatient Surgery facility includes four operating rooms and 12 PACU beds. The surgery center will be the foundation for the Musculoskeletal Institute, planned as a large facility for research and technology, advanced treatment and outpatient care focused on spine, joints and sports medicine. Physicians also treated conditions such as arthritis and autoimmune issues. The ASC includes 20 physicians and is led by medical director Jovan Popovic, MD, and director Gayle Harman, RN, MSN, CNOR.
OA Surgery Center (Portland, Maine). OA Surgery Center expanded in 2003, adding two operating rooms with digital technology. It is the surgery center of the physicians for the OA Centers for Orthopaedics, who focus on providing care for a variety of orthopedic conditions. At the surgery center, surgeons perform knee, shoulder, spine, wrist, hand and foot surgery. They also care for patients with orthopedic trauma and fracture needs. The practice also includes an advanced on-site X-ray suite, new procedure rooms and MRI availability. The ASC is accredited by the Accreditation Association for Ambulatory Health Care.
OAK Surgical Institute (Bradley, Ill.). OAK Surgical Institute is an orthopedic-driven surgery center with two operating suites and nine pre- and post-surgical recovery bays. It was founded as a partnership between physicians, local healthcare providers and patients. Surgeons affiliated with the center focus on joint replacement, sports medicine and pain management. The center has achieved accreditation from Accreditation Association for Ambulatory Health Care and includes a team physician for the Chicago Bears.
Ohio Orthopedic Surgery Institute (Columbus). The Ohio Orthopedic Surgery Institute is over 100,000-square-feet and includes four ORs and a procedure room. The institute is fully accredited by Medicare and the Joint Commission. The surgery institute offers spine surgery, sports medicine, pain management, joint replacement and orthopedic surgery services.
Oklahoma Center For Orthopaedic & Multi-Specialty Surgery (Oklahoma City, Okla.). The center has four ORs, two treatment rooms and 10 beds. It is an affiliate of United Surgical Partners International and is partnered with local physicians and Integris Health, which includes Integris Baptist Medical Center and Integris Southwest Medical Center. The center also includes imaging services. Led by CEO Teri Philbrick, the ASC is accredited by the Joint Commission.
Olympia Orthopaedic Associates Surgery Center (Olympia, Wash.). The center is affiliated with Olympia Orthopaedic Associates. The center was built in 2002 and is accredited by the Accreditation Association for Ambulatory Health Care. The practice opened a new ASC facility, which has been up and running since September of 2012. The practice also includes diagnostic imaging, physical therapy and interventional pain management. Physicians focus on a variety of orthopedic subspecialties, including extremities care, joint replacement, sports medicine and spine surgery.
OptimOrthopedics ASC (Savannah, Ga.). The OptimOrthopedics facility is a full-service ambulatory surgery center. The center is fully accredited by the AAAHC and offers physical therapy and imaging services in addition to surgical procedures. OptimOrthopedics performs trauma, general orthopedics, foot, ankle, hand, upper extremity, joint replacement, spine, neck, sports medicine, pain management and pediatric orthopedics procedures.
Orlando Orthopaedic Outpatient Surgery Center. This new center opened in September 2010. It has four ORs and a pain management center. In addition to orthopedic and spine surgery, the center hosts pain management and podiatry. The center is affiliated with Orlando Orthopaedic Center, made up of 17 physicians. The practice has several locations and divided into centers for spine, joint, hand, foot and ankle, pediatric, sports medicine, oncology and physical therapy.
OrthoGeorgia Ambulatory Surgery Center (Macon). OrthoGeorgia was established as the Macon Orthopaedic and Hand Center in 1961 and has since grown to include an on-site ambulatory surgery center. The 17,000-squre-foot facility includes three operating rooms, a procedure room and eight recovery rooms. Surgeons at the facility specialize in orthopedic, hand, hand microvascular and spine surgery. They perform approximately 4,000 cases annually and served patients from 122 counties in Georgia last year. The facility is Medicare-certified and accredited by the Accreditation Association of Ambulatory Health Care.
The Orthopaedic Institute Ambulatory Surgery Center (Gainesville, Fla.). Built in August 2000 and expanded in 2009, the Orthopaedic Institute Ambulatory Surgery Center includes five fully-equipped operating rooms and 15 recovery bays. The 16,000-square-foot facility is Medicare-certified and accredited by the AAAHC. The ASC was designed for the use of the 25 surgeons of The Orthopaedic Institute, who have a special interest in orthopedics, plastic and reconstructive surgery, sports medicine and primary care orthopedics. The practice also includes non-operative services and a worker's compensation program.
Orthopaedic and Neurosurgery Center of Greenwich (Conn.). The Leona M. and Harry B. Helmsley Ambulatory Surgical Center, operating under the name Orthopaedic and Neurological Center of Greenwich, is a joint venture between Orthopaedic & Neurosurgery Specialists in Greenwich and Greenwich Hospital. The surgery center includes four operating rooms that have high definition video cameras for arthroscopic procedures. The physicians perform knee and shoulder arthroscopy, ACL reconstruction, extremities care and minimally invasive spine procedures.
Orthopaedic & Spine Specialists Ambulatory Surgery Center (York, Pa.). The Orthopaedic & Spine Specialists Ambulatory Surgery Center has five operating rooms, four pain procedure rooms and a pre- and postoperative area for patients. The physicians at OSS have a special interest in orthopedics, sports medicine and spine care. The practice includes diagnostic imaging, rehabilitation, physical therapy and orthopedic urgent care.
Orthopedic Associates Ambulatory Surgery Center (Oklahoma City). Orthopedic Associates Ambulatory Surgery Center was built in 1986 and has been updated continuously since then. The center is home to the physicians of Orthopedic Associates in Oklahoma City, who have a special interest in sports medicine, arthroscopic surgery, extremities care, fracture care, joint replacement and trauma. The physician-owned surgery center is Medicare-certified.
Orthopaedic Associates of Wisconsin Surgery Center (Waukesha, Wis.). Orthopaedic Associates of Wisconsin opened a new surgery center in March 2007 designed for treating orthopedic patients. The center includes surgical equipment for arthroscopic procedures and an MRI for diagnostics. Physicians at the center subspecialize in spine, shoulder, hand, hip, knee, foot and ankle, sports medicine and trauma care. The group also includes physical therapy and athletic training services for the rehabilitation process.
The Orthopaedic Center at Springhill (Mobile, Ala.). This 78,000-square-foot facility is a joint venture between physicians and one of the local hospitals. With four ORs and two procedure rooms, this ASC is affiliated with Alabama Orthopaedic Clinic, a group of 20 orthopedic specialists in Mobile. In addition to orthopedics, specialties include pain management and plastic surgery. According to Administrator Dean Brown, the center has been profitable and has been accredited by the Accreditation Association for Ambulatory Health Care since its first year of operation in 2004.
Orthopaedic Outpatient Surgery Center (Des Moines, Iowa). The Orthopaedic Outpatient Surgery Center is jointly owned and operated by Des Moines Orthopaedic Surgeons and Iowa Health-Des Moines. The facility was specifically designed for orthopedic procedures and includes diagnostic testing. There are 23 physicians in the practice who specialize in sports medicine, joint replacement, spine surgery, general orthopedics and pain management. The center includes six operating rooms and serves more than 350 patients each month. The center is accredited by the Accreditation Association for Ambulatory Health Care.
Orthopaedic South Surgical Center (Morrow, Ga.). This center, operated by United Surgical Partners International, hosts orthopedic surgery, spine and pain management. The facility has three ORs and one treatment room. In 2010, it was a finalist in the Clayton County Chamber of Commerce Small Business of the Year contest. Led by administrator Andrea Fann, the facility is accredited by the Accreditation Association for Ambulatory Health Care.
Orthopaedic Surgery Center of Ashville (Ashville, N.C.). The Orthopaedic Surgery Center of Ashville has three operating rooms where physicians perform orthopedic, hand and spine surgery along with pain management procedures. The center is Medicare-certified and accredited by the Accreditation Association for Ambulatory Health Care. Physicians from Ashville Orthopaedic Associates, Blue Ridge Bone & Joint, Carolina Hand & Sports, Appalachian Foot & Ankle, Blue Ridge Foot Center, Smoky Mountain Foot Clinic and Carolina Spine & Neurosurgery Center perform cases at the ASC.
Orthopaedic Surgery Center of La Jolla (Calif.). This is the orthopedic ASC of Surgery One, a network of four outpatient surgery centers in the San Diego area. The ASC hosts 10 spine surgeons, 18 orthopedic surgeons and five pain management physicians. Surgeons perform joint replacement, arthroscopy, spine surgery and general surgery at the facility. The surgery center is accredited by the Accreditation Association for Ambulatory Health Care.
Orthopaedic Surgical Center of the North Shore (Peabody, Mass.). This 16,500-square-foot facility was the first independent orthopedic ASC in the state. The center was opened in 2004 and since 2005, surgeons have performed 32,000 surgeries in the facility. John Powell established the sugary center and now serves as its CEO. The surgery center includes board-certified orthopedic surgeons from Sports Medicine North as well as gastroenterologists, pain management physicians and an urologist. Operating rooms include high definition technology.
Orthopedic & Sports Surgery Center (Appleton, Wis.). This center features a recovery area that is a designated skilled nursing facility, allowing total joint surgery to be performed in the ASC. The center is owned by seven surgeons and an anesthesiologist at the Orthopedic & Sports Institute of the Fox Valley. In addition to the ASC and physicians’ offices, the institute hosts an MRI, physical therapy and orthotics. The group also provides pain management and includes a podiatrist. The center is accredited by the Accreditation Association for Ambulatory Health Care.
The Orthopedic Surgery Center of Arizona (Phoenix). The Orthopaedic Surgery Center of Arizona is a physician-owned facility including 15 orthopedic surgeons. The surgeons partnered with Cornerstone Surgical Partners to develop the facility, which is accredited by the Accreditation Association for Ambulatory Health Care. The facility is now partnered with Amsurg. Physicians at the surgery center focus on sports medicine, total joint replacement and lower extremity care. The group includes team physicians for Arizona Cardinals, Arizona Diamondbacks and Phoenix Coyotes.
Orthopedic Surgery Center of Orange County (Newport Beach, Calif.). The Orthopedic Surgery Center of Orange County is jointly owned by the Orthopedic Specialists of Southern California and Hoag Hospital, and an affiliate of Hoag Orthopedic Institute. The center was opened in 1999 and is focused on providing orthopedic and musculoskeletal care. Services at the surgery center include sports medicine, hand and wrist, foot and ankle and total joint surgery. The center includes 30 physicians.
Orthopedic Surgery Center of San Antonio (Texas). The Orthopaedic Surgery Center of San Antonio is the surgery center of The San Antonio Orthopaedic Group, which was established in 1947. Ancillary services at the ASC are comprised of MRI and CT scans as well as physical and hand therapy. The group also offers industrial rehabilitation, work hardening and work conditioning. The physicians have a professional interest in arthroscopic surgery, sports medicine and extremities care.
Pacific Heights Surgery Center (San Francisco). Pacific Heights Surgery Center was opened in 2003 to serve patients with orthopedic needs. The facility is accredited by the Accreditation Association of Ambulatory Health Care and certified by Medicare. Physicians performing cases at the center have a special interest in hand surgery, foot and ankle care and sports medicine. Surgery center operations are overseen by Chris Tormey, RN, director of clinical operations.
Parkway Surgery Center (Hagerstown, Md.). Opened in August 2006, Parkway offers comprehensive spine treatments and non-invasive spine surgical procedures. The ASC was founded by the physicians of Parkway Neuroscience and Spine Institute. With nine physician owners and 10 surgeons performing cases at the center, it is part of the Blue Chip Surgical Center Partners network. The center includes one operating room and one procedure room where physicians perform several procedures, including facet injections, nerve blocks, laminotomy, laminectomy, discectomy and spinal fusion. It is accredited by The Joint Commission and includes an MRI and CT scan.
Paulsen Street Surgery Center (Savannah, Ga.). Owned by Memorial Health, this surgery center includes four operating rooms. Orthopedic surgeons from Chatham Orthopaedic Associates perform cases there. The practice also includes MRI and full X-ray with physical therapy and sports medicine services provided close by. The surgeons have a special interest in treating spine, knee, hip and extremities injuries and conditions. The surgery center also includes ophthalmology, plastic surgery, otolaryngology, gynecology and general surgery. It is affiliated with Practice Partners in Healthcare.
Peak One Surgery Center (Frisco, Colo.). While orthopedic surgery makes up the majority of procedures at this center, it also features seven other specialties. The center is a partnership between Summit Surgical Group and St. Anthony Summit Medical Center in Frisco. The ASC's orthopedic medical staff includes 10 orthopedic surgeons from Vail Summit Orthopedics & Sports Medicine and The Steadman Clinic, also in Vail. The center is accredited by the Accreditation Association for Ambulatory Health Care.
Peninsula Surgery Center (Newport News, Va.). This multispecialty center features four operating rooms and five orthopedic surgeons. It was founded in 2003 as a joint venture with Riverside Medical Center and hosts orthopedics and spine surgery and sports medicine. Orthopedics procedures include arthroscopy of the knee, shoulder, ankle, or elbow as well as fracture and tendon repairs. Surgeons at the center also perform partial knee replacements and anterior cervical spine procedures. The surgery center also has a C-arm and X-ray machine. In addition, the center hosts general surgery, plastic surgery and genecology.
The Physician's Surgical Care Center (Winter Park, Fla.). Opened in 1993, the center is a partnership among Florida Hospital; Surgical Care Affiliates; Jewett Orthopedic Clinic; Ear, Nose, Throat & Plastic Surgery Associates and JLR Medical Group. Specializing in orthopedic, ENT and pain management, the center's 30 utilizing physicians perform upwards of 9,000 procedures each year. This four-OR surgery center with three treatment rooms is comparatively small, but boasts impressive stats, operating smoothly and efficiently to keep patients, physicians and teammates happy. Accredited by the Joint Commission with deemed status, the center's number one priority is clinical quality, maintaining a patient satisfaction rating of 98 percent, a physician satisfaction rating of 96 percent and a teammate satisfaction and retention rating in the 90 percent range.
Piedmont Surgery Center (Greenville, S.C.). Ambulatory Surgical Centers of America developed Piedmont Surgery Center, which hosted its first case in September 2008. Of its 12 physicians, three focus on spine surgery. Neurosurgeons associated with the center perform complex spinal surgery with instrumentation, microscopic disc surgery, reconstruction of traumatic spine injury and percutaneous spinal instrumentation. It is accredited by the Accreditation Association for Ambulatory Health Care.
Pointe West Surgery Center (Bradenton, Fla.). Surgeons form Coastal Orthopedics & Sports Medicine / Pain Management provide orthopedic care at Pointe West Surgery Center, located in Pointe West Medical Plaza. The plaza also includes physical therapy, pain management, MRI and X-ray. The practice includes orthopedic, sports medicine and pain management physicians who have affiliations with professional teams, including the Tampa Bay Buccaneers and Pittsburgh Pirates. The surgery center is affiliated with ASD Management.
Prairie SurgiCare (Peoria, Ill.). Prairie SurgiCare was added to Prairie Spine & Pain Institute in 2012 and includes spine and pain management services. Prairie SurgiCare performs procedures such as kyphoplasty, cervical disc replacement, anterior cervical corpectomy, anterior lumbar interbody fusion and anterior cervical discectomy. Prairie SurgiCare is fully accredited by the AAAHC.
Premier Orthopaedic Surgery Center (Nashville, Tenn.). This eight-year-old ASC, with two ORs and one procedure room, is affiliated with Premier Orthopaedics and Sports Medicine, which has 30 physicians. Only orthopedic surgeons from the practice use the center. The physician-owners of the center partner with Symbion Healthcare. In the area of spine, the center hosts one- and two-level anterior cervical discectomy and fusion and does some laminectomies. It is accredited by Accreditation Association for Ambulatory Health Care.
Premier Orthopedic Surgery Center (Albany, Ga.). Premier Orthopedic Surgery Center is the ASC of Premier Orthopedics, which includes four physicians who have special interest in spinal disorders, sports medicine, joint reconstruction and minimally invasive surgery. The ASC is accredited by the Accreditation Association for Ambulatory Health Care. The practice also includes physical therapy services and team physicians for a local high school.
Presidio Surgery Center (San Francisco, CA). Opened in 1989, this multi-specialty facility boasts an impressive volume of orthopedic and spine surgeries. Presidio Surgery Center specializes in the areas of spine, sports medicine, as well as hand, foot and ankle, but has also found success in general surgery, pain procedures, ENT and urology. Clinical quality is a top priority among the facility's surgeons, some of whom have received national recognition and are actively involved in teaching. Facility physicians provide care for Major League Baseball’s Oakland A's as well as the world-renowned San Francisco Ballet. Managed by Surgical Care Affiliates (SCA), the facility was recently inspected by The Joint Commission with no deficiencies noted.
Ravine Way Surgery Center (Glenview, Ill.). Ravine Way, focusing an orthopedics and pain management, was founded in 2006 as a joint venture between the physicians of Illinois Bone & Joint Institute and NorthShore University Health Systems. It features three operating rooms, one procedure room and a staff of 21 physicians. There are 19 physician partners and 24 physicians who perform cases there, many of which are known for their participation in organizations such as the American Academy of Orthopaedic Surgeons. Ravine Way is successful because of a strong commitment from its physicians-owners and a strong management team and experienced staff, according to Administrator Melody Winter-Jabeck. It is accredited by the Accreditation Association for Ambulatory Health Care.
Reading Surgery Center (Wyomissing, Pa.). With three ORs and one procedure room, Reading hosts seven orthopedic surgeons as well as physicians in pain management, podiatry, gynecology, ophthalmology and plastic surgery. Physicians at the center performed more than 6,700 cases in 2009, including spine cases such as laminectomies and anterior cervical discectomies and fusions.
Regional Hand Center of Central California (Fresno, Calif.). Regional Hand Center of Central California was incorporated in 1999 and moved to its current location in 2003. Founded by an independent physician and associated with SourceMedical, Regional Hand Center of Central California includes two operating rooms for patients with hand, wrist and forearm disorders. Randi Galli, MD, is currently the facility's owner, and he has added qualification in surgery of the hand by the American Board of Surgery. The center also includes hand, wrist and elbow therapy services.
Renaissance Surgery Center (Bristol, Tenn.). This Symbion center hosts minimally invasive spine surgery, neurosurgery, pain management, plastic surgery and general surgery. Three neurosurgeons, two from Highlands Neurosurgery in Bristol and one from Bristol Neurosurgical Associates, use the center. The center is licensed by the Tennessee Department of Health Services and the Centers for Medicare and Medicaid Services. The center is led by administrator Elizabeth Trivett, RN, and business office manager Judy Cole.
Reno (Nev.) Orthopaedic Surgery Center. Reno Orthopaedic Surgery Center was founded by Reno Orthopaedic Clinic surgeons who have a special interest in spine, sports medicine and joint replacement. The AAAHC accredited surgery center currently has 17 physician owners.
Roanoke (Va.) Ambulatory Surgery Center. The facility, which opened in November 2002, has three ORs and 18 physician-investors. Its surgeons practice at Roanoke Orthopaedic Center, which has been part of Carillion Clinic since 2009 and has four orthopedic surgeons, two physician assistants and one certified athletic trainer. In addition to orthopedics, it also hosts ENT, pain management and urology. It is affiliated with Virginia Orthopaedic.
Rockford (Ill.) Orthopedic Surgery Center. This facility is affiliated with Rockford Orthopedic Associates, which has 18 orthopedic surgeons and two podiatrists. The center opened in 2004 and by 2009 it was logging 2,800 surgical cases and more than 5,300 procedures. The practice also includes rehabilitation services and the physicians participate in research studies. In February 2011, the center was awarded three-year term accreditation by the Accreditation Association for Ambulatory Health Care.
San Francisco Surgery Center. This center was recently the first ASC to host MAKOplasty, a new robotic system that assists in partial joint replacement. The procedure was successfully performed by Kevin R. Stone, MD, of the Stone Clinic in San Francisco, and John H. Velyvis, MD, of the Coon Joint Institute in St. Helena, Calif. In orthopedics, the center covers upper extremity surgery, lower extremity surgery, spine surgery, endoscopic and open arthroscopic surgery. It also covers pain management, microsurgery, reconstructive plastic surgery, cosmetic surgery and general surgery.
Sheboygan (Wis.) Surgery Center. With three ORs and two procedure rooms, this center is focused on orthopedic surgery. It is a joint venture between eight local surgeons and St. Nicholas Hospital, a member of The Hospital Sisters Health System based in Springfield, Ill. ASD Management opened the center in 2008 and provides ongoing management. It was Sheboygan County’s first new construction, multispecialty, free standing surgery center. The 14,660-square-foot facility is accredited by the Accreditation Association for Ambulatory Health Care.
Skagit Island Orthopedic Center ASC (Anacorts, Wash.). Skagit Island Orthopedic Center’s ambulatory surgery center is designed to provide patients with orthopedic services. Skagit Island Orthopedics participates in Proliance Surgeons and includes diagnostic digital X-rays. Procedures at the center include arthroscopic rotator cuff repair, joint arthroscopy and fracture repair. The practice also includes interventional pain management and physical therapy programs. The practice was founded in 1998 and includes six physicians.
Slocum Center for Orthopedics & Sports Medicine (Eugene, Ore.). Slocum Center's affiliated practice, Slocum Center for Orthopedics and Sports Medicine, was formed in 1995 by combining two orthopedic groups. The practice is named for Donald B. Slocum, MD, who championed new orthopedic approaches. Additional services at the practice include a therapy center, concussion program, MRI and a pharmacy. Physicians have special interest in shoulder, elbow, hip, knee and spine care.
SMI Surgery Center (San Diego). SMI Surgery Center is jointly owned by Titan Healthcare and a group of 13 physicians. The center specializes in orthopedics, spine and pain management. Procedures done at the surgery center include arthroscopic shoulder and knee surgery, minimally invasive spine surgery and coblation nucleoplasty.
SOAR Surgery Center (Burlingame, Calif.). SOAR Surgery Center is the exclusive provider of the Sports Orthopedic and Rehabilitation Group, which provides care for the San Francisco 49ers. The center provides musculoskeletal, orthopedic, plastic, ENT, gynecology, ophthalmology, urology, gastroenterology, podiatry and general surgery services.
Somerset Surgical Center (Bridgewater, N.J.). The center was founded in 1995 by a group of orthopedic surgeons and pain management physicians. It was the first orthopedic ASC in the area. As the center's reputation grew, it began to bring in patients from across the country, including professional athletes. It is affiliated with Somerset Orthopedic Associates, which has seven physicians. It is accredited by the Accreditation Association for Ambulatory Health Care. The practice also includes physical therapy and a Spine Institute.
South Shore Ambulatory Surgery Center (Lynbrook, N.Y.). South Shore Surgery Center opened in October 2002 and was founded by independent physicians, physician groups and a managing partner. There are four operating rooms and one procedure room in this multispecialty center, dominated by orthopedic procedures. The most common procedures include sports medicine repairs, such as arthroscopic shoulder and knee surgeries, as well as extremities care, pain management, podiatry and percutaneous discectomy. Surgeons at South Shore Ambulatory Surgery Center perform Carticel Implantation, a unique procedure that uses the patient's own cells to repair cartilage injuries in the knee. The center's anesthesia group also provides regional blocks for most orthopedic cases. Currently, the surgery center includes 16 physician partners and 38 physicians perform cases at the ASC.
Southern Illinois Orthopedic Center (Herrin, Ill.). Southern Orthopedic Associates is a 12-physician group that includes Southern Illinois Orthopedic Center. Surgeons perform outpatient procedures at the ASC, including ACL reconstruction and carpal tunnel release. The group was formed as a merger of two orthopedic groups in 2000 and the surgery center is operated in partnership with Southern Illinois Healthcare. The ASC is accredited by AAAHC and all surgeons are members of the American Academy of Orthopaedic Surgeons.
Southern New Mexico Surgery Center (Alamogordo). Southern New Mexico Surgery Center has two orthopedic surgeons with two ORs and one procedure room. The center uses state-of-art, minimally invasive techniques. Orthopedic procedures include knee and shoulder arthroscopies, open shoulder surgery, anterior cruciate ligament repairs, fasciotomy and treatment of hand disorders. It is recognized by the Accreditation Association for Ambulatory Health Care. There are 10 physician partners.
Southern Orthopaedic Surgery Center (Fayetteville, Ga.). The Southern Orthopaedic Surgery Center opened in 2007 by eight physician members of Southern Orthopaedic Specialists. The orthopedic surgeons see patients with a broad range of injuries and conditions, including scoliosis and back pain, sports medicine and total joint replacement. Anesthesia services at the ASC are provided by Piedmont Anesthesia Associates. The center is accredited by the Accreditation Association for Ambulatory Health Care.
Southeastern Spine Institute Ambulatory Surgery Center (Mount Pleasant, S.C.). Southeastern Spine Institute Ambulatory Surgery Center is South Carolina's only ASC dedicated specifically to spine health. The 41,000-square-foot facility was designed by Don Johnson, MD, and Steve Poletti, MD, to address patients with spine-specific issues, including total disc replacement. In addition to outpatient surgery, Southwest Spine Institute includes imaging, fluoroscopy and physical therapy. The surgery center is accredited by the Accreditation Association for Ambulatory Health Care and Medicare-certified.
Southwest Lincoln (Neb.) Surgery Center. This 7,500-square-foot facility includes orthopedic surgery, spine surgery and pain management in addition to ophthalmology and general surgery. The ASC is led by neurosurgeon Daniel J. Tomes, MD, who is also medical director of the Gogela Neuroscience Institute at BryanLGH Medical Center, and affiliated with Blue Chip Surgery Center Partners. The surgery center was founded in 2009 and achieved full accreditation with AAAHC and CMS.
Spalding Surgical Center of Beverly Hills (Beverly Hills, Calif.). Physicians and surgeons at Spalding Surgical Center of Beverly Hills provide orthopedic surgery, pain management, plastics and reconstructive procedures. The facility is Medicare-certified and state licensed.
Spine & Sports Surgery Center (Campbell, Calif.). Spine & Sports Surgery Center includes orthopedic surgery, pain management and physiatry. The center is accredited by the Accreditation Association for Ambulatory Health Care and Medicare certified. The surgeons are affiliated with the North American Spine Society, American Academy of Physical Medicine and Rehabilitation and American Academy of Orthopaedic Surgeons. The facility is affiliated with Spine & Sports Medical Center.
Spine Centers of America (Fair Lawn, N.J.). Spine Centers of America, affiliated with New Jersey Back Institute, operates three surgical centers with a team of certified endoscopic spine surgeons. Founder and Head Surgeon Bryan J. Massoud, MD, has performed more than 1,000 minimally invasive spine surgeries for maladies such as cervical and lumbar disc herniations, thoracic disc herniations, spinal stenosis, failed back surgery syndrome, spondylolisthesis, scoliosis and infections. He also instructs orthopedic residents and colleagues in new procedure and endoscopic techniques. Spine Centers of America opened its new Advanced Spine Surgery Center in Union, N.J., in November 2010.
The Spine Institute of Southern New Jersey (Marlton, N.J.). Surgeons at The Spine Institute of Southern New Jersey perform spinal surgery, which includes lumbar discectomy, lumbar laminectomy, posterior lumbar interbody fusion and anterior lumbar interbody fusion. The ASC's staff is focused on providing one-on-one care. Orthopedic surgeons include Joan O'Shea, MD, and Steven B. Kirshner, MD. Dr. Kirshner was the first spine surgeon in New Jersey to perform lumbar total disc replacement and the first to implant a flexible rod system in 2004.
Spine Surgery Center of Eugene (Eugene, Ore.). The Spine Surgery Center of Eugene was opened in 2007 by Glenn L. Keiper Jr., MD, founder of KeiperSpine, and several associates. Dr. Keiper has focused on motion-sparing techniques, which has helped him develop new technology for spine surgery. Physicians perform minimally invasive spine procedures. The surgery center is lead by Administrator and CEO P. Evelyn Cole, MHSA, CASC. The center is accredited by the Accreditation Association for Ambulatory Health Care.
Squaw Peak Surgical Facility (Phoenix). Squaw Peak Surgical Facility was founded by spine surgeon Anthony Yeung, MD, in 1998 to complement his practice, Desert Institute for Spine Care. Along with Dr. Yeung, Christopher A. Yeung, MD, and Justin S. Field, MD, are partners in the center. Surgeons at the two-operating room surgery center perform several spine procedures, including endoscopic transforaminal thoracic and lumbar spine decompression, Yeung Endoscopic Spine Surgery (selective endoscopic discectomy), mircor lumbar discectomy, endoscopic dorsal ramus rhizotomy and ablation and therapeutic injections. Injections include transforaminal epidural steroid injections, facet injections, medical branch block injections and caudel injections. The surgeons also perform a dorsal endoscopic rhizotomy surgery developed by Dr. Yeung, using the Yeung Endoscopic Spine Surgery system. The surgeons are team spine surgeons and consultants for several professional athletic teams, including the Arizona Diamondbacks, Colorado Rockies, Kansas City Royals, Seattle Mariners, Los Angeles Dodgers and Cincinnati Reds.
Sports Medicine Day Surgery Center (Renton, Wash.). Physicians at the Sports Medicine Day Surgery Center have a special interest in arthroscopic surgery, ankles knees, shoulders and sports injuries. Lawrence W. Snow, MD, is a former team physician for the U.S. Ski Team and has provided care to other local sports teams. He is also a member of the Arthroscopy Association of North America, American College of Sports Medicine and American Academy of Orthopaedic Surgeons.
St. Louis Spine & Orthopedic Surgery Center (Town and Country, Mo.). This 13,000-square-foot facility opened in 2007 and currently includes more than 22 credentialed physicians. The physicians are interested in orthopedic and neurological spine, general orthopedics and pain management. Surgeons perform outpatient single- and multi-level cervical and lumbar discectomies as well as total hip and knee replacements. The facility includes three operating rooms and two procedure rooms.
St. Louis Spine Surgery Center. Physician investors with St. Louis Spine Surgery Center partnered with Blue Chip Surgical Partners to establish their 6,700-square-foot facility in 2007. It was acquired by Meridian Surgical Partners in February 2012 and contains two operating rooms. The 10 physicians perform a variety of neurosurgery and pain management procedures. St. Louis Spine Surgery Center is led by administrator Debbie Wooten and is located in a medical office building.
St. Matthews Surgery Center (Louisville, Ky.). The center, with three pre-op rooms and six recovery rooms, specializes in the knee, hip, shoulder, foot and spine surgery. Surgeons of the Louisville Orthopaedic Clinic established the surgery center in partnership with Baptist Hospital East. The ASC includes three preoperative rooms and six recovery rooms as well as two surgery suites designed specifically for orthopedic patients. Louisville Orthopaedic Clinic also includes MRI, X-ray and physical therapy. The surgery center is accredited by the Accreditation Association for Ambulatory Health Care.
Stateline Surgery Center (Galena, Kan.). This two-OR center is primarily involved in orthopedics cases and is home to six orthopedic surgeons, one spine surgeon, one hand surgeon and one pain specialist. Opening in March 2010, it is housed in an $8 million, 52,000-square-foot building with physician offices and exam rooms, a gym and MRI services. The ASC has four large overnight rooms to allow for additional recovery time needed by spine patients.
Surgical Center at Columbia Orthopaedic Group (Columbia, Mo.). The physicians of Columbia Orthopaedic Group have ownership in the Surgical Center at Columbia Orthopaedic Group. The ASC opened its doors in July 2008 and more than 20 surgeons perform procedures there. The facility includes four operating rooms and 23-hour overnight observation capabilities. Surgeons perform several procedures, including knee and hip replacement, shoulder surgery, fracture repair, extremities care and pain management. The surgery center is certified by Medicare.
SurgiCare of Miramar (Fla.). SurgiCare of Miramar is a multispecialty ASC opened in March 2010. The 11,000-squre-foot facility is a freestanding surgery center with four operating rooms and an affiliate of Surgem. Driven by orthopedics, pain management and podiatry, the surgery center also includes ophthalmology, GI and general surgery. The physicians of Orthopedic Specialists of South Florida bring their cases there. The facility is accredited by the Accreditation Association for Ambulatory Health Care.
Surgery Center at Doral (Miami). Surgery Center at Doral was founded in 2008 as a joint venture between Alejandro Badia, MD, and a management company. Orthopedic surgeons perform outpatient total joint replacements and small joint arthroscopy, among other procedures. There are currently four physician partners and five additional physicians operating at the surgery center. The center's orthopedic urgent care center OrthoNOW includes a therapy center and onsite MRI imaging.
Surgery Center of Allentown (Pa.). This multispecialty ASC, one of the largest in the state, is a joint venture between physicians and Ambulatory Surgery Centers of America. Having opened in April 2007 with five ORs and 25 staff members, it has grown to seven ORs with a staff of more than 55. The center has two spine surgeons and five sports medicine surgeons. To keep in shape, the ASC prepares for its state department of health inspection in January and again in August. It is recognized by the Accreditation Association for Ambulatory Health Care.
The Surgery Center of Easton (Maryland). This one operating room and one procedure room center opened in 1997 with four surgeons and is currently a partnership with four orthopedic surgeons and Surgical Care Affiliates. The center is located in the same building as the partners' office, making it a true extension of their practice. Although the center now has 11 surgeons, 70 percent of its case volume is orthopedic. The orthopedic surgeons at the center specialize in general orthopedics, sports medicine and care of the hand, foot and ankle. The center maintains success despite increasing costs by working together with implant vendors to control costs. Seven out of the nine non-physician employees have been at the center for more than five years, which contributes to very strong emphasis on teamwork. The entire nursing team is cross-trained to ensure high efficiency. As a result, the center completes more than 1,600 cases per year. Accredited by AAAHC, the center has maintained its profitability despite ongoing challenges with payors and rising costs.
Surgical Center of Excellence (Panama City, Fla.). The Surgical Center of Excellence includes two operating rooms where surgeons perform general surgery, otolaryngology and plastic surgery procedures in addition to orthopedics. Led by director and CEO Daniel C. Daube, MD, the surgery center worked with ASD Management in 2009 for a successful turnaround into profitability.
Surgery Center of Kalamazoo (Kalamazoo, Mich.). Surgery Center of Kalamazoo was founded in 2004 by a group of independent physicians and Ambulatory Surgery Centers of America as the managing partner. In 2007, NovaMed, now known as Surgery Partners, purchased the four-operating room surgery center. While the center is driven by orthopedic procedures, physicians also perform pain management, podiatry, ENT and gynecological surgery at the ASC. Currently, surgeons perform unicompartmental knee replacements in the surgery center and kyphoplasty. In the near feature, total shoulder replacements may also be performed at the ASC. There are 14 surgeon owners and 20 surgeons who bring cases to the center.
Surgery Center of Maryland (Silver Spring). There are two neurosurgeons and 28 orthopedic surgeons at this center, which is affiliated with Ambulatory Surgery Centers of America. In orthopedics, the ASC covers knee arthroscopy, shoulder arthroscopy and anterior cruciate ligament repair. It also covers carpal tunnel release and several other procedures in hand surgery. Surgery Center of Maryland is a multispecialty ASC recognized by the Accreditation Association for Ambulatory Health Care and physicians perform 3,500 procedures per year among all specialties. The surgery center has four operating rooms and one procedure room.
Surgery Center of Reno (Nev.). This multi-specialty ASC has a strong orthopedics program with 16 orthopedic surgeons. Its spine program has two spine surgeons. The surgeons perform minimally invasive surgery and offer nine other subspecialties. Spine surgeon James Lynch, MD, serves as chairman of the board of directors for the center. By combining multiple disciplines, the center is able to offer a team approach to find treatment for those suffering from back or neck pain.
Surgery Center of Wisconsin Rapids (Wis.). Surgery Center of Wisconsin Rapids opened its doors in 2006 and is the surgery center of Wisconsin River Orthopaedic Institute. Managed by ASD Management, the center covers orthopedic and pain procedures. In September 2007 and again in August 2010, it achieved a three-year accreditation from Accreditation Association for Ambulatory Health Care. The center is currently working on adding an ophthalmology service line. The practice also includes MRI and therapy services.
Tallahassee (Fla.) Outpatient Surgery Center. Tallahassee Outpatient Surgery Center is a partnership between Tallahassee Orthopedic Clinic and Hospital Corporation of America. The center opened in 1992 and became affiliated with HCA in 1994. The Medicare and AAAHC accredited facility offers orthopedics, podiatry, pain management, plastic, oral and ophthalmology surgery services.
Tallgrass Surgical Center (Topeka, Kan.). This multispecialty center focuses on sports medicine and hosts a great deal of ACL reconstructions. Kurt R. Knappenberger, MD, an orthopedic surgeon, is the current president of the surgery center while anesthesiologist William E. Gitchell, MD, serves as medical director. Surgeons have been performing the partial knee replacement procedure for several years in addition to arthroscopy, hand surgery, fracture care and pain management injections. The center has three operating rooms and one procedure room. The center is accredited by the Accreditation Association for Ambulatory Health Care.
Texas Orthopedics Surgery Center (Austin). Texas Orthopedics Surgery Center was founded in 2002 and is owned and operated by the physicians of Texas Orthopedics. The physicians have a special interest in sports medicine, spine care, extremities care and rheumatology. The practice is also the official sports medicine providers for the Texas Stars hockey team. The surgery center is accredited by The Joint Commission. In addition to the surgery center, Texas Orthopedics includes physical therapy, imaging services and a pharmacy.
Texas Surgical Center (Midland). Texas Surgical Center was opened in October 2003 and is currently owned and operated by a group of 12 surgeons. Surgeons perform orthopedics, hand, spine, pain management, podiatry reconstructive and plastic surgery and urology procedures at the facility. The ASC includes two operating rooms with hi-definition technology and one treatment room. Diagnostic services include two C-arms and one mini C-arm for fluoroscopy.
Trade Center Outpatient Surgery (Palmdale, Calif.). Trade Center Outpatient Surgery was founded by Nick Alapour, MD, who focuses on minimally invasive spine procedures. The surgery center is fully accredited by the Healthcare Facilities Accreditation Program. The center offers spine procedures including lumbar laminotomy, lumbar microscopic discectomy, disc nucleoplasty and anterior microscopic discectomy.
TRIA Orthopedic Center (Minneapolis). TRIA is a comprehensive center for orthopedic diagnosis, treatment, surgery and rehabilitation. The center includes more than 40 orthopedic physicians who have subspecialties in sports medicine, acute injury, shoulder, knee, spine, extremities and fracture care. Sports medicine physicians have current and previous affiliations with Minnesota athletic teams, including the Vikings, Twins and Timberwolves. Specialists at TRIA are involved in professional research in the Bio-Skills Lab and the TRIA Orthopaedic Research Institute.
Tri-City Orthopaedic Center (Richland, Wash.). This USPI facility, with two ORs and one treatment room, covers orthopedic surgery and pain management. It is affiliated with six-physician Tri-City Orthopedic Clinics. Tri-City's clinical technology includes computer-assisted surgery navigation for total knee replacement, minimally invasive surgery, arthroscopic shoulder reconstructions and minimally invasive spine surgery. It is accredited by Accreditation Association for Ambulatory Health Care.
Tri State Advanced Surgery Center (Marion, Ark.). Tri State Advanced Surgery Center opened in 2012 and is co-owned by 15 physicians. The Medicare certified and AAAHC accredited center has two procedure rooms and two operating rooms. Spine, orthopedic and sports medicine surgeons perform procedures at the surgery center.
Tucson Orthopaedic Surgery Center (Tucson, Ariz.). In operation since 2002, this 11,500 square-foot facility specializes in orthopedic and pain management procedures. A joint venture between Tucson Orthopaedic Institute and Tucson Medical Center, the ASC is now owned by TMC. The center features four ORs and hosts 19 surgeons from the practice. The center has logged less than 40 days in A/R since 2007 and 35,000 procedures since it opened. Tucson Orthopaedic is accredited by the Accreditation Association for Ambulatory Health Care.
Two Rivers Surgical Center (Eugene, Ore.). Formerly named Northwest Neurospine Institute, Two Rivers Surgical Center opened in July 2006. The 7,911-square-foot facility, acquired by Meridian Surgical Partners in August 2008, was specifically designed for outpatient spine procedures, using two ORs. The facility also provides pain management procedures. Angel Kellum serves as the center's administrator. Two Rivers Surgical Center is a Medicare-certified and recognized by the Accreditation Association for Ambulatory Health Care.
Upstate Orthopedics Ambulatory Surgery Center (Syracuse, N.Y.). The physicians of Upstate Orthopedics perform orthopedic and pain management procedures at Upstate Orthopedics Ambulatory Surgery Center. Their 100,000 square-foot facility includes the ASC, imaging services, custom orthotics and prosthetics, physical therapy, occupational therapy and a lab for blood work. There are 16 orthopedic surgeons who have a special interest in sports medicine, extremities care and spine.
Vail (Colo.) Valley Surgery Center. A joint venture between Vail Valley Medical Center and 21 physician-partners, Vail Valley Surgery Center focuses on orthopedics, but it also offers GI, general surgery, plastic surgery, pain management, gynecology, ENT and podiatry. The facility, which opened in 2002, has four ORs and one procedure room. Vail Valley completes more than 4,000 cases annually, mostly in orthopedics, and treats some of the nation's top athletes.
Valencia Surgical Center (Newhall, Calif.). Valencia Surgical Center is affiliated with Southern California Orthopedic Institute and includes three ORs. The multispecialty center offers several surgical services including arthroscopy and orthopedics.
Valley Orthopedic Associates Ambulatory Surgery Center (Renton, Wa.). The surgeons of Valley Orthopedic Associates perform outpatient procedures in this ASC. The surgeons perform nearly 4,000 cases annually. The practice also includes an MRI and physicians have a special interest in sports medicine, joint replacement, extremities care, spine care and occupational medicine. The practice was founded in 1973 and includes the board president and medical director of the Prosthetics Outreach Foundation Robert Veith, MD.
Valley Surgery Center (Steubenville, Ohio). Opened in July 2002, Valley Surgery Center is owned by 14 local surgeons who partnered with Symbion Healthcare in September 2004. The facility features three ORs and one procedure room. It has 28 credentialed physicians. In addition to orthopedics, it hosts ENT, ophthalmology, general surgery, podiatry, gynecology, plastic surgery, urology and pain management.
Virginia Beach Ambulatory Surgery Center (Virginia Beach). The Virginia Beach Ambulatory Surgery Center is a for-profit outpatient surgery center that opened in October 1989. The ASC is a joint venture between physician partners and Sentara Health System to provide multispecialty care for adult and pediatric patients. Orthopedic services at the ASC include arthroscopy, ACL repair, carpal tunnel release, fracture repair and rotator cuff repair. The surgery center is accredited by the Accreditation Association of Ambulatory Health Care.
West Kendall Surgery Center (West Kendall, Fla.). In June 2003, a group of physicians founded West Kendall Surgery Center along with their business partner. Surgery Partners purchased the center in 2005. West Kendall includes four operating rooms and surgeons typically perform shoulder, knee, hip, wrist, ankle and elbow arthroscopies there. The center also includes physicians who perform pain care injections and open tendon repairs and bone fixation. The physicians have presented at local and national meetings and D. Kalbac, MD, is a U.S. World Soccer team physician. The ASC currently includes 13 physician partners and four non-physician partners who perform cases there.
West Park Surgery Center (Cape Girardeau, Mo.). West Park Surgery Center was formed in association with the physicians from Brain & NeuroSpine Clinic of Missouri and Blue Chip Surgical Center Partners. Surgeons at the center perform anterior cervical discectomy and fusion, microdiscectomy, carpal tunnel, ulnar nerve transposition and pain management procedures. The surgery center includes five physicians.
Wildwood Surgical Center (Toledo, Ohio). This is an 18,000 square-foot multispecialty surgery center with five operating rooms. The facility, operated by ProMedica Health System, is home to 50 physicians performing about 6,000 procedures per year. The facility's orthopedic program is part of the Orthopaedic Institute at ProMedica, a 10-hospital system based in Toledo. Common orthopedic procedures at the ASC involve knee, shoulder and foot and ankle surgery.
William B. Mulherin Surgery Center (Athens, Ga.). The William B. Mulherin Surgery Center was established in 2007 by the physicians of Athens Orthopedic Clinic. William B. Mulherin, MD, founded AOC in 1966 and the physicians named their surgery center after him. AOC manages operations at the center, which is accredited by the Accreditation Association of Ambulatory Health Care. The physicians include orthopedic consultants for the University of Georgia. In addition to the surgical center, AOC includes an MRI imaging facility, occupational and physical therapy and is currently working on a Sports Performance & Rehabilitation Center.
Wilmington (N.C.) SurgCare. This Symbion center has seven ORs, up from three when it opened in 1994, and three procedure rooms used by 83 active physicians, 19 of whom are owners. Twenty of the physicians are in orthopedics and the center also hosts general surgery, plastic surgery, endoscopy, ophthalmology, urology, pain management, ENT and gynecology. Wilmington SurgCare received Symbion's "Facility of the Year" award in 2007 and has also earned three "President's Awards" from its management company for reaching established benchmarks.
Yakima (Wash.) Ambulatory Surgical Center. This three-OR, physician-owned multispecialty facility has about 30 full-time and part-time employees. Opened in 1998, it averages 3,500 surgeries a year. In recent years, the center recruited two new orthopedic surgeons and one neurosurgeon, as well as added neurosurgery and spine services. The center is run by Administrator Kimberly L. Tude Thuot.