Physicians dominate ASC ownership — but big corporations are catching up 

ASCs remained overwhelmingly for-profit in 2023, with 95.3% operating as such, according to a March 13 MedPAC report to Congress.

Here are three more insights into the shifting landscape of ASC ownership:

1. Physicians still hold majority stakes. Most ASCs are at least partially owned by physicians, maintaining a long-standing trend of clinician investment in outpatient surgical care.

2. Corporate ownership is rising. Between 2018 and 2023, the number of ASCs owned by one of the five largest corporate entities — United Surgical Partners International, AmSurg, Surgical Care Affiliates, HCA Healthcare, and Surgery Partners — rose by 15.7%, increasing from 1,152 to 1,333 facilities.

3. Overall corporate presence is growing slowly. During the same five-year span, the overall share of ASCs with some level of corporate ownership grew modestly, from 20% to 21.1%.

Here are three more stats to know:

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