Freestanding ED’s Continue to Prove A Popular Option for Health System Growth

As freestanding ED’s (FSED) continue to grow in popularity with health systems, Meadows & Ohly (M&O) has leveraged nearly 50 years of healthcare strategy and real estate experience to help our clients deliver state-of-the-art emergency departments both on-time and under budget.

A number of factors are driving growth in FSEDs including:

  • Patient preference for more access points, in terms of location and wait times

  • Shifting demographics nationally and within metro areas

  • Changes in regulatory (e.g., certificate of need) and reimbursement (e.g., ambulatory rate structure) landscapes, impacting some areas more than others

FSEDs are typically characterized as having:

  • Convenient locations in growing population centers

  • On average, shorter wait times than traditional hospital-based ERs

  • Over 90% operate 24/7

  • Typically, staffed with board-certified emergency medicine physicians

  • Facilities of 5,000 - 20,000 SF, with on-site imaging and lab services

At M&O, we have expertise not only in the real estate development of FSEDs, but also in assessing the strategic success of these ventures by understanding:

  • Healthcare markets most likely for FSED success, including demographics, location and competition

  • FSED utilization based on population age and ED visit severity levels

  • Volume and financial modeling based on utilization rates, reimbursement rates and staffing models

  • Interplay between FSED, hospital ERs, urgent care centers, walk-in clinics and other access points


M&O served as Program Manager for the recently completed Baptist Health Oakleaf Freestanding ED.

Bradley Huff