Note regarding forward-looking statements
This prospectus supplement, the accompanying prospectus and the other documents we have filed with the SEC that are incorporated herein by reference, contain forward-looking statements, which are based on our current expectations, estimates and assumptions about future events. All statements other than statements of current or historical fact contained in this prospectus supplement, the accompanying prospectus and other documents we have filed with the SEC that are incorporated herein by reference are forward-looking statements. These statements include, but are not limited to, statements regarding our future financial position, business strategy, budgets, effective tax rate, projected costs and plans and objectives of management for future operations. The words “projections,” “believe,” “continue,” “drive,” “estimate,” “expect,” “intend,” “may,” “plan,” “will,” “could,” “would” and similar expressions are generally intended to identify forward-looking statements. These statements involve risks, uncertainties and other factors that may cause actual results to differ from the expectations expressed in the statements. Many of these factors are beyond our ability to control or predict. These factors include, without limitation, the following:
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reductions in payments from government health care programs and private insurance payors, such as health maintenance organizations, preferred provider organizations, and other managed care organizations and employers;
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our ability to contract with private insurance payors;
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changes in our payor mix or surgical case mix;
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failure to maintain or develop relationships with physicians on beneficial or favorable terms, or at all;
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the impact of payor controls designed to reduce the number of surgical procedures;
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our efforts to integrate operations of acquired businesses and surgical facilities, attract new physician partners, or acquire additional surgical facilities;
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supply chain issues, including shortages or quality control issues with surgery-related products, equipment and medical supplies;
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competition for physicians, nurses, strategic relationships, acquisitions and managed care contracts; our ability to attract and retain qualified health care professionals;
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our ability to enforce non-compete restrictions against our physicians;
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our ability to manage material liabilities whether known or unknown incurred as a result of acquiring surgical facilities;
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the impact of future legislation and other health care regulatory reform actions, and the effect of that legislation and other regulatory actions on our business;
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our ability to comply with current health care laws and regulations;
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the outcome of legal and regulatory proceedings that have been or may be brought against us;
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the impact of cybersecurity attacks or intrusions;
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changes in the regulatory, economic and other conditions of the states where our surgical facilities are located;
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our indebtedness;
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the social and economic impact of a pandemic, epidemic or outbreak of a contagious disease, such as COVID-19, on our business; and
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the risks and uncertainties set forth under the heading “Risk Factors” in our 2022 Annual Report on Form 10-K and discussed from time to time in our reports filed with the SEC.
Considering these risks, uncertainties and assumptions, the forward-looking events and circumstances discussed in this prospectus supplement, the accompanying prospectus and the other documents we have filed with the SEC may not occur, and actual results could differ materially from those anticipated or implied in the forward-looking statements. When you consider these forward-looking statements, you should keep