The demand for MI surgical procedures is increasing rapidly due to its huge acceptance and clinical benefits over traditional/open surgery. The advances in medical facilities and services with faster-acting and more effective anesthesia and less invasive techniques have increased the number of procedures performed in ASCs. This widespread adoption is likely to change the market dynamics of the

ambulatory surgical centers market.The global ambulatory surgical centers market is highly fragmented with top four leading companies that have accounted for approximately 15%-16% of the overall market in 2015.The highly fragmented nature of the market has led to increased consolidation of the ASC industry over the last two to three years. This consolidation is attributed to reimbursement changes, changing regulatory environment, and cost pressures for ASCs providing various surgical options to end-users. For instance, Surgery

Partners is looking to consolidate in this market by acquiring small practices with small numbers of clinicians.

PART 01: Executive summary 7

Highlights 7

PART 02: Scope of the report 9

Market overview 9

Top-vendor offerings 10

PART 03: Market research methodology 12

Research methodology 12

Economic indicators 12

PART 04: Introduction 13

Key market highlights 13

Ambulatory surgical centers (ASCs): An overview 13

PART 05: Market landscape 19

Market overview 19

Market size and forecast 20

Five forces analysis 23

PART 06: Market segmentation by surgery centers 24

Single-specialty centers 24

Multi-specialty centers 24

PART 07: Global single- specialty ambulatory surgical

centers market 27

Market overview 27

Market size and forecast 28

PART 08: Global multi-speciality ambulatory surgical

centers market 29

Market overview 29

Market size and forecast 30

PART 09: Market segmentation by modality 33

Hospital-affiliated ASCs 34

Market size and forecast 35

Freestanding ASCs 36

Market size and forecast 37

PART 10: Geographical segmentation 39

Ambulatory surgical centers market in Americas 42

Ambulatory surgical centers market in EMEA 49

Ambulatory surgical centers market in APAC 52

PART 11: Market segmentation by services 56

Diagnostic services 56

Surgical services 56

PART 12: Market drivers 58

Rapid development in outpatient services increases

demand for ASCs 58

Rising popularity of minimally invasive surgeries 58

Increasing incidence of chronic diseases 60

PART 13: Impact of drivers 61

PART 14: Market challenges 62

Presence of multi-speciality hospitals 62

Unfavorable reimbursement policies 62

Highly fragmented market 64

Risks associated with ASC administration 64

Paucity of skilled personnel 66

PART 15: Impact of drivers and challenges 67

PART 16: Market trends 68

Rising physician-owned ambulatory surgical centers

(ASCs) 68

Increasing mergers and acquisitions of small practices 69

Growing shift of corporate groups from single-speciality

to multi-speciality ASCs 70

Advances in medical technology 71

PART 17: Vendor landscape 73

Competitive scenario 73

PART 18: Key vendor analysis 77

AmSurg 77

United Surgical Partners 80

Surgery Partners 84

Surgical Care Affiliates 86

Other prominent vendors 90

PART 19: Appendix 92

List of abbreviations 92

PART 20: Explore Technavio 93