Urology and ASCs in 2026: 5 notes

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Urology has been a steady source of  ASC news this year, as private equity firms and MSOs continue to build scale in the specialty and operators see room for more surgical volume to move into ASCs.

Here are five notes on urology and ASCs in 2026 from Becker’s coverage:

1. Becker’s has reported on four new urology practice sites and outpatient programs in 2026. Santa Barbara, Calif.-based Cottage Medical Group opened Cottage Urology Clinic in Goleta, Calif., in September, and New Hyde Park, N.Y.-based Northwell Health opened a 17,000-square-foot pediatric orthopedic surgery and urology center in April. Two urology groups also partnered with Tysons Corner, Va.-based IR Centers to bring outpatient interventional radiology into the practice setting: Laguna Hills, Calif.-based Orange County Urology Associates announced its program in April, and Cherry Hill, N.J.-based New Jersey Urology followed weeks later with plans for multiple centers offering embolization therapies for conditions such as benign prostatic hyperplasia.

2.Terry Bohlke, CEO of Nashville, Tenn.-based Keystone Surgical Partners, said urology groups that commit to moving surgical cases out of the clinic and into the ASC are seeing strong results. Mr. Bohlke spent 10 years as the senior executive overseeing ASC operations at Franklin, Tenn.-based Community Health Systems before launching Keystone this year.

“If a urology group has a sufficient number of cases and they’re committed to change their practice to where they see those surgical cases in the ASC, they can actually be very successful,” he said. “Even a single-specialty urology ASC can do very well if they follow that guidance.”

3. Gary Kirsh, MD, co-founder of Solaris Health, the urology MSO Cardinal Health acquired for $1.9 billion in 2025, is bringing the same consolidation playbook to cardiology as CEO of Cardiovascular Logistics, a cardiology MSO with more than 400 providers across seven states. Dr. Kirsh described a two-phase approach: first aggregate independent practices into a national business, then shift the focus to clinical pathways, outcomes and cost.

“First, put them in a business, and then run as hard as you can on improving care because that’s not only a great mission for America, but also a great mission for business,” Dr. Kirsh said.

4. Golden Gate Urology, a 13-physician practice with six locations in the San Francisco Bay Area, partnered with Unio Specialty Care, a portfolio company of Triton Pacific Capital Partners. Unio’s multispecialty platform provides gastroenterology, urology and radiation oncology services to more than 500,000 patients a year across more than 57 California locations. The deal marked the 10th completed urology transaction for Physician Growth Partners, which served as Golden Gate Urology’s exclusive financial adviser.

5. Dublin, Ohio-based Cardinal Health named Nathan Walcker president of the Specialty Alliance, its physician-led MSO for gastroenterology and urology, effective Aug. 3. The Urology Alliance, part of the Specialty Alliance, grew to about 750 physicians after Cardinal Health’s $1.9 billion acquisition of Solaris Health. Mr. Walcker, former CEO of Florida Cancer Specialists & Research Institute, will oversee enterprise strategy, operations and business growth, while James Weber, MD, CEO of the Specialty Alliance, will continue to focus on physician practice growth and independent-practice advocacy.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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