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

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sued for breach of contract. From cosmetic surgery to ENT By this point, risk-taking and pushing the envelope were deeply ingrained in my personality, but I was disappointed with the decision to strike the deal with the spa distributor. The risk-taking I enjoyed was in executing novel sales and marketing strategies that were based on sound analysis and could result in big market-share gains. The kind of risk-taking associated with the spa channel distribution deal represented a different kind — the kind primarily associated with achieving financial targets. Although it stood out in my mind because I felt it was a bad business decision, it was consistent with other "pushing-the-envelope" activities whose main purpose appeared to be meeting the numbers. Another topic that fell into this bucket was expired and obsolete inventory. When inventory no longer has a chance of ever being sold, it should be written off, which creates an expense and reduces earnings. There was a lot of discussion about this and it seemed to me that there was inventory that should have been written off but wasn't. Since I had no specific expertise in this area, I figured the finance and accounting people knew what they were doing. Looking back on it, I am no longer sure. Regardless of the legality of all of these financial transactions that pushed the envelope, what I should have realized was that I was working in a company that would do whatever it took to meet Wall Street expectations. Given my background and personality, this was exactly the wrong kind of com- pany for me to work in. Shortly thereafter, a change occurred that would put many of these issues in the background. It became clear that the cosmetic surgery business was not a good fit for ArthroCare. I recommended that the business be shut down. 5 7 A U G U S T 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T

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