Ambulatory Surgery Center VP of Transactions in Dallas, Texas, United States
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Ambulatory Surgery Center VP of Transactions

North Texas Ambulatory Surgery Division
Dallas, TX, United States
Full-time • No Weekends
Executive   Job ID: 121645
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Managers thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for an Ambulatory Surgery Center VP of Transactions for our Ambulatory Surgery Division team where excellence creates excellence.


HCA Ambulatory Surgery Division, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Fertility and family building benefits through Progyny
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • Family support, including adoption assistance, child and elder care resources and consumer discounts
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan
  • Retirement readiness and rollover services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Ambulatory Surgery Center VP of Transactions role today!

Job Summary and Qualifications

The Ambulatory Surgery Division VP of Transactions leads the process focused on the identification, pursuit, and closing of ambulatory surgery center (ASC) acquisition transactions and from the ground up development projects. Reporting to the SVP, the ASD Development Senior Vice President and is part of a dedicated ASD Development team that includes: a) additional transaction-focused Vice Presidents and Directors who identify and pursue new opportunities, negotiate deal terms, and manage the business and legal aspects of ASC acquisition and de novo projects; b) a financially-focused Vice President and Directors who develop and evaluate financial pro formas and business cases for each potential project; and c) a Vice President and Directors for Integration who drive the transition and integration of new ASCs that result from transactions.

The VPT will act as the primary lead and point person on a portfolio of ASC acquisition and de novo development projects. These projects involve opportunity identification, preliminary proposal development, letter of intent development and execution, detailed due diligence, definitive agreement development and execution, and transition and integration planning activities. In addition to coordinating project activities with the SVP Development and one or more Directors of Development who are focused in the VPT’s assigned market areas, the VPT will also work closely and regularly with a broad, interdisciplinary team drawn from ASD leadership, HCA corporate functions, in-market hospital division leadership, and external consultants. These professionals will provide expertise in areas like legal, compliance, facilities design and construction, human resources, information technology, etc.

Areas of Focus:

  • Working regularly and consistently with ASD leadership and HCA hospital leadership within selected markets to identify and prioritize ASC acquisition opportunities.
  • Working independently and with DTs to source new opportunities, structure major deal terms, negotiate with Sellers (primarily physicians and third party management companies), and close ASC transactions which are operationally feasible and which achieve targeted financial, strategic, and other outcomes.
  • Working closely with internal and external legal counsel to develop, negotiate, and execute letters of intent and definitive agreements.
  • Reviewing and critically evaluating pro formas and business case documents prepared by the ASD Development financial analysis team (excellent financial acumen and Excel skills required).
  • Assembling, reviewing, and finalizing physician-facing proposal summaries (strong PowerPoint skills required).
  • Assembling, reviewing, and finalizing internal project summaries for Division and Group leadership review and approval (strong PowerPoint skills required).
  • Securing capital approvals from ASD leadership as well as HCA hospital division and group leadership.
  • Conducting and managing detailed due diligence activities, coordinating the efforts of a broad, diverse due diligence and transition/integration team (utilizing DevLink, an HCA-customized version of Salesforce, to track progress).
  • Reviewing and assessing third party appraisals.

Experience Needed:

  • Bachelor’s degree in Health, Business Administration, or related field.
  • Graduate degree in Health, Business Administration, or related field a plus.
  • Equivalent work experience may be substituted for degree requirements.
  • Minimum 10 years’ experience in business, finance, development, or related field.
  • Experience with ASC facility transactions strongly preferred.

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as an Ambulatory Surgery Center VP of Transactions. Unlock your leadership potential with HCA Healthcare.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

This position is incentive eligible.


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North Texas Ambulatory Surgery Division
Full-time • No Weekends

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California). (For further clarification, please ask your recruiter.)

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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