Q1 2026 governing-board packets across 17 surgery centers + 1 PPTX template. Every packet is a hybrid of (A) governance ritual and (B) financial / operating data backup — the ritual is nearly identical, the data depth varies dramatically.
Tip: click any n/18 count to see exactly which packets cover that section.
Almost every packet opens with an Agenda → Quorum & attendees → approval of the prior quarter's minutes (often 3–6 pages, verbatim) → Chairman's Executive Summary → Center Leader / Administrator report → MEC + Credentialing → QAPI → Medical Director → Other Business → Adjourn. This skeleton is nearly identical packet to packet.
Backed by an RCM "discussion document" (the % of Net Rev scoreboard), AR aging detail, full P&P revision lists, QAPI focus studies, benchmarking dashboards, and capital / equipment requests. This is where centers diverge — some lean narrative-only, some attach full multi-year financials.
Sections present in 15–18 of 18 packets. These are effectively the AmSurg governing-board template.
The next layer — present in most packets but not every one. A center that skips one of these usually replaces it with a center-specific topic.
| Block | Coverage | Type | What it usually contains |
|---|
Every packet leans on the same financial spine; the variation is in how much detail is shown vs. summarized in narrative bullets.
| Metric | Coverage | How it shows up |
|---|
Roughly a third of packets — usually because the center has an active project or unresolved issue in that area.
Distinctive to a handful of centers — useful as a checklist of "things only some packets do" that the broader portfolio could adopt or ignore.
● dedicated section · ○ brief mention · · not present
Skipping the boilerplate — the actual board-level conversation each center is having this quarter.
A proposed minimum-viable structure that captures everything the universal backbone already requires, normalizes the data centers report inconsistently, and keeps appendix material optional. Designed to fit in 12–15 standard pages plus appendices.
These are the highest-value targets — universally present in narrative, but reported with wildly inconsistent rigor today. Standardizing them creates immediate roll-up value.
| Today | Coverage | Standardize to |
|---|---|---|
| Quality benchmarking — narrative status | 17/18 narrative · ~6/18 numeric | Single dashboard with all ASC quality measures + value + benchmark + trend arrow |
| Patient satisfaction — mixed Press Ganey / OAS CAHPS / "no issues" | 17/18 mention · 7/18 numeric | Pick one survey vendor portfolio-wide; report top-box %, response rate, 4-quarter trend |
| Block / room utilization — only when there's an issue | 7/18 | Always include: utilization % by block, by room, with trailing 6-month trend |
| Payor mix — included only sometimes | 8/18 | Always: top-10 payers by net rev + % share, vs prior period |
| Variance narrative — free-form bullets | 14/18 | Two-column table: "favorable drivers" / "unfavorable drivers" with $ impact each |
| Capital request register — buried in "Other Business" | 14/18 | Standing table: item, $ amount, status (requested/approved/in-flight/complete), owner |
| Action items — sometimes captured, sometimes not | 13/18 | Required closing slide: open items from prior, new items, owner, due date |
A two-tile cover ("% of Net Rev" for the GI ASC and a paired anesthesia entity 4xxx) shows up in 16/18 packets — usually verbatim from the Woodlands template (2171). When a center has a paired anesthesia LLC (Tampa 4129, Gainesville, Altamonte, Woodlands), the same RCM page is duplicated for that entity.
The shortest packets (Altamonte Springs ~330 lines, Overland Park ~460, Troy ~590) still cover the universal backbone but compress the discussion to bullet points. The longest (Independence ~2K, Baltimore ~1.5K, Gainesville Ortho ~1.4K) attach full P&P revision lists, multi-page minutes, and per-policy review tables.
Olympus 180 scope replacement (13/18), Provation Apex / EHR cutovers (12/18), CBO transitions, AmSurg IT migration, lobby/OR renovations — almost every packet uses "Other Business" as the slot for one or two capital or systems projects.
QAPI + Patient Satisfaction + Infection Control are mentioned in 17/18 packets, but only ~7/18 actually show numeric scores (Press Ganey top-box, OAS CAHPS, ASC quality measures with values). The rest report status as "no issues" / "audits up to date".
Baltimore's MIVU economics, Knoxville's RX Sight IOL consignment, Marin's Vonage phone separation, Waverley's PTO policy — these are board-level decisions you would not see in the average packet, and they are the items most worth a portfolio-wide read-across.
Source: 17 PDFs + 1 PPTX dropped via OneDrive. Text was extracted with
pdftotext -layout and the PPTX via raw XML. Coverage counts are from regex tagging
across the extracted text (about 22K lines total). Section presence is defensible at the ±1
packet level — most false-negatives are financial statements that are embedded as images and
don't extract via pdftotext (the standalone Cash Flow / P&L / Balance Sheet pages are
likely present in more packets than the matrix shows). Re-run with OCR if you need exact
financial-statement coverage.