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Why Do ASCs Fail? - August 2015 - Subscribe to Outpatient Surgery Magazine

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at the end of almost every quarter. When sales were significantly behind budget going into the quarter's final month, key executives were exhorted to do whatever it took to make the number. We put sales promotions in place for key customers, offered large distribu- tors special terms in exchange for large orders and told department heads to hold off on spending. We were told time and again that if we didn't make the numbers, the stock price would drop and we'd be "taken out" (acquired). Reasonable efforts to meet revenue and profit targets are generally okay. But I now know that the rules around revenue recognition and expense management are very complex, and it's not always clear when you're crossing the line that separates being aggressive from being ille- gal — especially if, like me, you don't have an accounting or finance background. What was most disconcerting in my early days at ArthroCare was that it felt like making the numbers at times took priority over sound business strategy. For example, a gentleman who ran a company that sold and distributed aesthetic spa products approached me at a cosmetic surgery trade show. He wanted to distribute Coblation con- trollers and disposable devices to his customers. I didn't think this was a good idea for many reasons, chief among them being that this company didn't have a physician on staff (only a physician could use ArthroCare products). And while we had a device that aestheticians conceivably could use in a spa setting, it was a prototype that was still in development. Although I recommended against it, I was directed to strike a licensing deal with this company — provided they purchased $150,000 worth of controllers before the end of the quarter. Should this revenue have been recognized? I don't know. However, it did turn out to be a bad deal for the company. We were unable to provide them with reliable product and they eventually 5 6 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | A U G U S T 2 0 1 5 B r e a k i n g B a d

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