Most independent ASCs favor partnership over sale: Survey

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Fifty-nine percent of independent ASCs would consider a strategic partnership rather than a full sales transaction, according to a VMG Health survey released Oct. 9. 

The survey gathered responses from 97 ASC leaders in September, representing both independently owned and joint venture centers.

Here are three key transaction-related findings:

1. Among ASCs open to partnerships, 71% would consider partnering with a health system, 31% with a management company and 29% with a private equity group.

2. Compared to 2025, ASC leaders expect 2026 market activity to remain stable:

  • More activity expected: 27% of respondents
  • Similar activity: 66%
  • Less activity: 7%

3. Here are the acquisition challenges for 202 surveyed leaders mentioned

  • Increased competition: 30%
  • Mismatch in buyer-seller value perception: 30%
  • Internal financial challenges: 17%
  • Regulatory hurdles: 13%
  • Capital accessibility: 3%
  • Other: 7%
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