The ASC industry is slowly consolidating, and five major moves in the last year point to how the industry is shifting. 

A 10,000-square-foot medical office building in East Windsor, N.J., has sold for $2.95 million, according to a July 6 report from roi-nj.com. 

Five ASCs have said they would close their doors this year, citing low patient volumes, financial strain and more.

United Surgical Partners International has more than 475 surgery centers, the most of any ASC chain. 

Surgery center chains have consolidated in the last decade to five mega-companies and a handful of small regional chains with growth prospects simmering.

The ASC market has shifted in the last decade with consolidation between ASC chains and more surgery center development overall, but the percentage of independent surgery centers overall hasn't drastically shifted.

UnitedHealth Group's Optum, parent company of ASC chain SCA Health, is on a spending spree, acquiring more than $10 billion worth of companies in the last year. 

Here are five big Amazon moves that Becker's has reported on since June 1:

Here are six major physician group acquisitions to know:

Private equity has been the largest acquirer of private physician practices over the last five years, according to 2023 data from the American Hospital Association.

The Englewood, Colo.-based Dry Creek Medical Campus, which is anchored by a full-service ASC leased to Englewood-based Orthopedic Centers of Colorado in partnership with Deerfield, Ill.-based SCA Health, has sold to Remedy Medical Properties and Kayne Anderson Real Estate, according to a June 26 report from REBusiness Online. 

An 82,328-square-foot Methodist Southlake (Texas) medical office building outside of Fort Worth, Texas, attached to a Methodist hospital has sold, according to a June 26 report from Rebusiness Online.

UnitedHealth Group's Optum has agreed to merge with Amedisys, a home health and hospice provider.

A 22,700-square-foot North Haven, Conn.-based medical office building has sold for $1.5 million, according to a June 23 report from the Hartford Business Journal.

Here are five ASC chains that have grown their footprint so far in 2023:

Optum, parent company of ASC chain SCA Health, and Tenet Healthcare, parent company of ASC chain United Surgical Partners International, have made big moves in the last year, continuing their consolidation of physicians and ASCs. 

 Recent comments from UnitedHealth and Humana suggest medical costs could rise from delayed elective surgeries, which could be good news for ASCs, ALM Benefits Pro reported June 20. 

Here are three major ASC deals in 2023:

Ambulatory infusion services provider Vivo Infusion has acquired Specialty Infusion, an industry leader with 14 ambulatory infusion centers in New York, New Jersey and Massachusetts. 

Here are eight moves from Oakland, Calif.-based Kaiser Permanente that Becker's has reported on since April 26: