Becker's Healthcare December 1, 2025
Dr. Shakeel Ahmed

The Business Corner is a bimonthly column by Shakeel Ahmed, MD, CEO of St. Louis-based Atlas Surgical Group. This is the first installment.

Having been involved in the ASC industry for a quarter of a century, I have seen the transformation of this business through all its stages. I can safely say that ASCs are entering a tighter margin environment now than ever in recent memory. I have seen labor costs climb to new and unsustainable heights, with many ASCs, including those owned by my group, reporting double-digit annual wage inflation for registered nurses and staff. Add to that anesthesia shortages and subsidy pressures, and you have what’s called the perfect storm.

What is not keeping pace with these downward...

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