Outpatient procedures account for 83% of surgeries performed today and this number will only grow as procedures continue to move out of the hospital setting. Because many of the procedures currently making this transition are critical to hospital margins, the remaining overall shift to HOPDs, ASCs, office-based labs and/or physician offices will have a major impact on hospital viability. As a result, we will see increased efforts to expand physician and ASC alignment. Examine the procedural landscape at the service line and procedure levels and analyze volumes by site of care. Identify key drivers of the procedural shift to lower-cost sites, investigate several key procedures and explore strategies for capturing procedure growth.