Nashville, Tenn.-based HCA Healthcare agreed to sell four Georgia hospitals to Atlanta-based Piedmont Healthcare, including an ASC, the company announced May 3. 

Leesburg, Fla.-based FHV Health has been acquired by Orlando Health for an undisclosed price, according to the Orlando Business Journal.

Becker's ASC Review reported on four acquisitions with ASC buildings in April.

Dallas-based Tenet Healthcare has finalized the $80 million sale of its urgent care platform to FastMed, according to an April 30 release. 

Deerfield, Ill.-based Surgical Care Affiliates is among the three largest ASC chains in the U.S., and it has plans for further growth this year.

Nashville, Tenn.-based HCA Healthcare expects to add several ASCs this year and has seen a rebound in outpatient activity.

The Surgery Group of Grand Island (Neb.) is joining Bryan Physician Network in Lincoln, Neb., according to The Grand Island Independent.

Healthcare transactions have been on fire this year, with at least five billion-dollar deals made or in the works.

Anderson (S.C.) University has acquired a former ASC building in Anderson through a partial gift. 

Nashville, Tenn.-based HCA Healthcare saw an uptick in outpatient revenue and outpatient case volume, but a dip in the number of ASCs in the first quarter of 2021. 

Inefficient, paper-based business processes have become incompatible with today’s demanding healthcare environment where practices face massive complexities, ranging from reimbursement challenges to compliance hurdles — and this was before the COVID-19 pandemic.

The medical real estate space has been active so far in 2021. Here are six recent deals costing at least $10 million:

Nasville, Tenn.-based HCA Healthcare reported the number of first-quarter outpatient surgery cases grew year over year while inpatient cases declined.

Dallas-based United Surgical Partners International, the ASC segment of Tenet, showed recovery in the first quarter of 2021 compared to last year.

Anchor Health Properties has acquired a two-building, 85,242-square-foot portfolio with several ASCs in a Philadelphia suburb, according to an April 14 release. 

Dallas-based United Surgical Partners International, Tenet's ASC segment, is recovering case volume and revenue amid the pandemic but continues to chase 2019 numbers.

Surgery Partners is refinancing $119 million of incremental term loans raised last April during the first surge of COVID-19, the company revealed April 20. The company also released preliminary first-quarter revenue and case volume projections.

Despite the challenges of the COVID-19 pandemic, Optum broke into 2021 strong with increased revenue in the first quarter compared to the same time last year.

Higher acuity cases and more value-based contracts helped drive Optum's first quarter revenue growth.

Fairfax-based Virginia Surgery Associates became part of Inova April 13, according to the Washington Business Journal.