St. Louis-based Ascension, one of the nation’s largest nonprofit health systems, is reportedly in advanced talks to acquire Nashville, Tenn.-based ASC chain AmSurg in a deal valued at approximately $3.9 billion, according to Bloomberg.
AmSurg, which operates more than 250 ASCs across 34 states with more than 2,000 physicians, emerged as a standalone entity after separating from Envision Healthcare during its 2023 bankruptcy restructuring. The company is now backed by investors including Pacific Investment Management Co., King Street Capital Management and Partners Group.
2025 has been a major year of acquisitions for AmSurg, as it continues to grow its ASC footprint. In January, it acquired majority ownership interest in Texarkana (Texas) Surgery Center. In April it acquired Pinnacle Surgery Center in Covington, La.
People familiar with the discussions told Bloomberg that a deal could close in the coming weeks, though no agreement has been finalized and negotiations remain fluid.
Neither Ascension nor AmSurg responded to Becker’s requests for comment.
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