Ambulatory Surgery Center Pro Forma Model v1.9.1


This ASC pro forma Excel (.xlsx) model is intended for use with de novo ASC development projects and ASC renovation projects.

The model is pre-populated with example inputs. Users must update the input fields with all of their own specific value inputs for case volumes, reimbursement, material costs, staff FTEs, staff salaries, and facility expenses.

HTA does not provide technical support.  You must be proficient in Excel to use this model.


This ambulatory surgery center pro forma model includes the schedules below.

Capital Plan Physician Data Input Volume, Revenue, Material Projections
O.R. Utilization Analysis Projected Expenses Staff Plan
Income Statement Cash Flow Statement Balance Sheet
Capital Expenditures Working Capital Equipment & Building Loans