Healthcare Intelligence Podcast

The ASC Growth Playbook: Finance, Operations and Physician Alignment

Terry Bohlke22 min 02 secJuly 16, 2026
The ASC Growth Playbook: Finance, Operations and Physician Alignment

More procedures are moving from hospitals to ambulatory surgery centers, but growth alone does not guarantee strong financial performance.

Terry Bohlke, longtime ASC executive and past president of ASCA, shares what healthcare leaders need to understand about building, operating, and growing a successful surgery center. Drawing on decades of experience across finance, operations, development, and acquisitions, Terry explains why details matter so much in the ASC model.

The conversation covers:

  • The economics of ASC growth
  • Rising development costs
  • Specialty expansion
  • Cash flow
  • Technology gaps
  • The challenge of getting physician owners fully committed to the center

For C-suite, finance, operations, and RCM leaders looking to better understand where the ASC market is going, and what separates an average center from a high-performing one.

About the guest

Terry Bohlke

Terry Bohlke is a nationally recognized ambulatory surgery center executive with more than 20 years of multi-site, multi-state ASC leadership experience across 23 states. He has led ASC strategy, operations, development, acquisitions, finance, quality, and physician alignment for major healthcare organizations, including Community Health Systems, National Surgical Healthcare, and Nueterra.

Most recently, he served as Vice President of Ambulatory Surgery Centers for Community Health Systems, where he established and led the national ASC strategy for 51 ASC partnerships. His work has focused on building high-performing outpatient surgery platforms through quality-centered operations, strong physician partnerships, market growth, disciplined financial management, and clinical integration with health systems.

A former healthcare CFO and CPA, Terry brings a distinctive blend of strategic, operational, and financial expertise to the ASC sector. He has also served in national and state ASC industry leadership roles, including President and member of the Board of Directors for ASCA, the national ASC association, and CASA, the California ASC Association.

In addition to his healthcare leadership, he served as Commander and Executive Officer of the Navy's Center for Naval Leadership Southwest, bringing a deep commitment to leadership development, team culture, and mission-focused execution. He has spoken and written extensively on ASC growth, financial performance, physician partnerships, and leadership, and joins Healthcare Intelligence to discuss the evolving role of ambulatory surgery centers in the future of healthcare delivery.