In an optimal situation, any opening in an ASC’s surgical schedule would be filled by an investor physician. Often, that scenario is just wishful thinking, says John Piccione, CASC, a regional director for Surgery Partners based in Lake Worth, Florida. “Unless a center’s partnered physicians run like clockwork and bring significant volume, there will likely be unutilized operating room (OR) time. This creates a need—and opportunity—to recruit non-investor physicians to fill those gaps.”