Jeffrey Singerman, Administrator and COO, Manhattan Endoscopy Center

Summary

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Becker’s Healthcare Podcast: Jeffrey Singerman, Administrator and COO, Manhattan Endoscopy Center

Date: November 30, 2025
Host: Grace Linkeller
Guest: Jeffrey Singerman

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Episode Overview

In this episode, recorded live at the 31st Annual Business and Operations of ASCs, Grace Linkeller interviews Jeffrey Singerman, the Administrator and COO of Manhattan Endoscopy Center. The discussion centers around the rapid expansion of the Ambulatory Surgery Center (ASC) market, the impact of technological innovation (particularly AI and advanced EHR systems), and the opportunities and challenges in collaboration and staffing. Singerman offers a candid, practical, and forward-looking perspective on both clinical and administrative aspects shaping the future of ASCs.

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Key Discussion Points & Insights

1. Introduction & Background (00:35–01:20)

• About Manhattan Endoscopy Center:
  • Single-specialty, GI-specific ASC, not hospital-affiliated
  • Located in Midtown Manhattan
  • Features 7 procedure rooms, expects ~10,000 patients annually
• Singerman’s Role: Administrator and Chief Operating Officer

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2. Growth of the ASC Market (01:20–02:41)

• Strong Growth Drivers:
  • Cost Differential: Lower cost base compared to hospitals and hospital outpatient departments.
    • “The cost base is much lower within the ASC environment and our outcomes, I’m happy to say, are probably as good if not better than what goes on in the hospital.” – Jeffrey Singerman (01:41)
  • Agility and Flexibility: ASCs can adopt new technology and pivot faster than large hospital systems.
    • “We can pivot from a technological standpoint much quicker than the larger health systems that have to go through layers and layers of bureaucracy…” – Jeffrey Singerman (01:56)
• Advice for ASC Leaders:
  • Be flexible, open-minded, and carefully evaluate return on investment (ROI) of any innovations.
    • “You need to be flexible, open minded and evaluate what your ROI is going to be on any investment…” – Jeffrey Singerman (02:23)

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3. The Role of Technology in ASC Operations (02:41–04:45)

Dividing Tech Impact: Clinical vs. Administrative

• Clinical Side:
  • AI, in its current form, hasn’t exhibited dramatic benefits in GI so far.
  • Anticipates future AI advancements in:
    • Polyp detection
    • Real-time histology assessment for early cancer detection
      • “Where we’ll probably see the most advances will be in polyp detection and possibly being able to look at—when a gastroenterologist is doing histology—if this is cancerous or not before it’s ever removed from the body.” – Jeffrey Singerman (03:19)
• Administrative Side:
  • AI and technology likely to have biggest near-term impact by automating documentation, supporting insurance compliance, and reducing staffing burden.
    • “The impacts on the administrative side… would ultimately… reduce staffing and help in the area of documentation from a physician standpoint… to meet criteria that the insurance companies are putting up there to inhibit reimbursement or look for excuses to deny claims.” – Jeffrey Singerman (03:47)
• Most Transformative Tech:
  • Voice dictation and advanced EMR (electronic medical record) systems stand out.
    • Beta testing for procedure note voice dictation underway—future impact expected within 18–24 months.
      • “I see beta testing now going on in voice dictation for procedure notes… I’m also starting to see it in working with one company and helping to develop some of it in the procedure documentation area… those may have the biggest impact in the next 18 to 24 months.” – Jeffrey Singerman (04:20)

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4. Collaboration and Joint Ventures (04:45–06:04)

• Rising Partnerships: With 60% of health systems considering ASC joint ventures, new models are emerging.
• Opportunities:
  • Recruitment & Succession Planning:
    • Collaborations with hospitals enable better recruitment and planning for workforce needs.
      • “...the hospital can direct or feed the ASC environment the physicians necessary to maintain as close to 100% occupancy as possible.” – Jeffrey Singerman (05:27)
    • Addresses challenges facing new medical graduates who weigh ASC vs. hospital career paths.
  • Combating Workforce Shortages:
    • Partnerships can help alleviate shortages, especially in anesthesia and nursing.
      • “...there’s a nationwide shortage in anesthesia and nursing, they’ll help that as well in being able to move staff around to substitute in where there are call outs...” – Jeffrey Singerman (05:45)

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5. Final Thoughts & Advice for Administrators (06:04–06:25)

• Critical Mindset for Leaders:
  • Flexibility and thorough due diligence in investment decisions are vital for ASC administrators.
    • “Any administrator needs to be flexible and they need to do their homework. They need to do their due diligence to ensure that whatever investments they’re making are going to be in the best interest for the ASC.” – Jeffrey Singerman (06:11)

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Notable Quotes

• “The cost base is much lower within the ASC environment and our outcomes, I’m happy to say, are probably as good if not better than what goes on in the hospital.” – Jeffrey Singerman (01:41)
• “We can pivot from a technological standpoint much quicker than the larger health systems that have to go through layers and layers of bureaucracy to obtain what we can do in almost an instantaneous decision.” – Jeffrey Singerman (01:56)
• “Where we’ll probably see the most advances will be in polyp detection and possibly being able to look at—when a gastroenterologist is doing histology—if this is cancerous or not before it’s ever removed from the body.” – Jeffrey Singerman (03:19)
• “Any administrator needs to be flexible and they need to do their homework. They need to do their due diligence to ensure that whatever investments they’re making are going to be in the best interest for the ASC.” – Jeffrey Singerman (06:11)

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Timestamps for Key Segments

• 00:35–01:20 – Introduction & background on Manhattan Endoscopy Center
• 01:20–02:41 – Growth drivers in the ASC market
• 02:41–04:45 – Impact of technology (AI, EHR, and EMR) on clinical and administrative operations
• 04:45–06:04 – Opportunities in ASC/hospital collaborations and workforce management
• 06:04–06:25 – Final thoughts and leadership advice

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Conclusion

This episode provides a succinct yet practical overview of the trends shaping the ASC landscape, especially from the vantage point of an operational leader in a busy urban center. Singerman’s focus on technology, staffing, and collaborative models offers relevant guidance to other ASC administrators looking to stay nimble and effective as the market continues to evolve.

Transcript

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[Grace Linkeller]

Is Grace Linkeller with the Beckers Healthcare Podcast and we are recording live at the 31st annual Business and Operations of ASCS. I'm currently sitting down with Jeffrey Singerman who is the Administrator and COO at Manhattan Endoscopy Center. Jeffrey, thanks for being here. To kick us off. Can you share a little bit about yourself and your work in the ASC space?

[CareCredit Representative]

Sure.

[Jeffrey Singerman]

Good morning. So as you said, my name's Jeff Singerman, am the Chief Operating Officer Administrator for Manhattan Endoscopy. We are a single specialty non hospital affiliated ASC located in Midtown Manhattan. We are GI specific. We have seven procedure rooms and should probably end the year with about 10,000 patients coming through the door.

[Grace Linkeller]

All right, well thanks for being here and let's start our conversation with the ASC market because in the US this is projected to reach $60.8 billion by 20 and it continues to experience strong year over year growth. From your perspective, what are the most significant trends in market forces driving this expansion and how should ASC leaders be preparing today?

[Jeffrey Singerman]

So I think part of this trend is contributed to the cost base between the hospital, the hospital OPD and the asc. The cost base is much lower at within the ASC environment and our outcomes, I'm happy to say, are probably as good if not better than what goes on in the hospital. And then the second part that I think is contributing to this is that we can pivot from a technological standpoint much quicker than the larger health systems that have to go through layers and layers of bureaucracy to obtain what we can do in almost a instantaneous decision. From an administrator's standpoint or a COO standpoint. I believe that you need to be flexible, open minded and evaluate what your ROI is going to be on any investment that you're going to make. As this trend continues.

[Grace Linkeller]

Absolutely. And shifting gears slightly from AI and robotic surgeries to advanced EHR systems, technology does remain a make or break factor and a critical driver of ASC operations At scale. So how do you see deeper tech integration shaping the way ASEs deliver care and manage their business over the next few years?

[Jeffrey Singerman]

So I going to divide this into two different venues. I think one is a clinical venue and one is an administrative venue. So from a clinical standpoint, and we've gone through two, if not three tests of AI and its current iteration, it really has not helped in the GI environment. I think when we look out in 2030, I think where we'll probably see the most advances will be in polyp detection and possibly being able to look at when a gastroenterologist is doing histology in an area where their mucosal changes that they conceivably determine if this is cancerous or not before it's ever removed from the body. But where I really see in 2030 and if not sooner, the impacts on the administrative side, which would ultimately I believe, reduce staffing and help in the area of documentation from a physician standpoint as well, that they can meet the criteria that the insurance companies are putting up there to inhibit reimbursement or look for excuses to deny claims.

[Grace Linkeller]

And following up to that, is there any specific technology or innovation that stands out to you as especially transformative?

[Jeffrey Singerman]

Probably going to be on the EMR side. And I see beta testing now going on in voice dictation for procedure notes, much different than what we saw in radiology in the last five to 10 years. And I'm also starting to see it in working with one company and helping to develop some of it in the procedure documentation area. And I think those may have the biggest impact in the next 18 to 24 months.

[Grace Linkeller]

100%. And with 60% of health systems considering ASC joint ventures and many ASCs already partnering with systems in their communities, what opportunities do you see for collaboration, whether with other providers or vendors, to strengthen patient care and operational efficiency?

[Jeffrey Singerman]

Great question. And I think where I see a couple places where there will be a large impact. One, I think it's going to make it easier, especially with hospital partnerships, to recruit and do succession planning. So if you think about it now, the average fellow coming out of fellowship is probably somewhere about a half a million dollar in debt and has to make a decision do I go to an ASC environment or a hospital environment? And right now the hospital environment is more conducive for salary stabilization. If there's that partnership there, the hospital can direct or feed the ASC environment, the physicians necessary to maintain as close to 100% occupancy as possible. The second area and there's a nationwide shortage in anesthesia and nursing, they'll help that as well in being able to move staff around to substitute in where their call outs and of that nature.

[Grace Linkeller]

And as we wrap up our conversation today, is there anything that we didn't touch on or any final thoughts you'd like to share on the podcast?

[Jeffrey Singerman]

Yeah, I think from an administrative standpoint, I think any administrator needs to be flexible and they need to do their homework. They need to do their due diligence to ensure that whatever investments they're making are going to be in the best interest for the asc.

[Grace Linkeller]

Absolutely. Well, Jeff, thanks so much for being here today on the Beckers Healthcare Podcast to share these thoughts and insights. Again, we are recording live at the 31st annual business and operations of ASCS.

[Jeffrey Singerman]

Thank you. My pleasure.