Category: ASC Transactions and Valuation Issues

ASC hospital dynamics have been evolving over the last several years as hospitals look increasingly to ASCs for their cost-savings potential and benefits to patients. 

Ontario, Calif.-based Prime Healthcare completed its acquisition of eight Ascension hospitals and two ASCs in Illinois. 

Brentwood, Tenn.-based Surgery Partners’ deployed nearly $400 million on acquisitions and opened eight de novo facilities in 2024, according to the company’s financial report released March 3. 

The ASC industry has seen significant shifts over the past five years, with ASC giants like United Surgical Partners International nearly doubling its portfolio since 2019. 

ASC giant United Surgical Partners International had a huge year in 2024, solidifying its position as the biggest ASC company in the country.  

As reimbursement challenges and administrative burdens continue to squeeze physicians, some have embraced cash-only or direct primary care models. 

Hospital consolidation continues to reshape the nation’s healthcare landscape, with mergers and acquisitions becoming a dominant strategy for health systems seeking financial stability, operational efficiency and expanded patient access. 

Johnson, Tenn.-based Ballad Health seeks to provide relief for physician practices struggling to stay afloat in challenging economic environments, especially in rural areas. 

As hospitals and health systems continue expanding their outpatient strategies, their relationships with ASCs are evolving.

A portfolio of 10 medical office buildings across Arizona, Illinois, Massachusetts, Tennessee and Texas has sold for $108 million, according to a Feb. 20 report from Boston Real Estate Times.