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ASC Transactions & Valuation Issues

Ascension’s $3.9 billion acquisition of Amsurg is cleared to close, but only after the St. Louis-based health system parts ways with seven ASCs the Federal Trade Commission says would otherwise leave patients in five markets with less competition and higher…

The Stark law has been on the books for more than three decades, but enforcement has never been more aggressive.  In 2024, seven major Stark law indictments contributed to a record-breaking 979 qui tam lawsuits, with False Claims Act settlements…

Charlotte, N.C.-based Advocate Health and Hospitals Corporation has acquired a cardiovascular ambulatory surgery treatment center and outpatient facility in Naperville, Ill., for $23.4 million, according to a June 3 REJournals report.  The 42,438-square-foot facility was sold by HSG Medical and…

The Federal Trade Commission has proposed a consent order in a pending deal between St. Louis-based Ascension and Amsurg, one of the largest ASC operators in the country that would require Ascension to divest several ASCs from its proposed $3.9…

From regulatory roadblocks to volume declines, three ASCs have closed within a single month.  This rare spree of shutdowns cuts against the industry’s prevailing growth as health systems pour capital into ASCs.  Here are the three closures: 1. Catholic Health…

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Catholic Health System is closing Sterling Surgical Center in Orchard Park, N.Y., citing declining patient volume, and relocating its surgical services to other ASCs in its network, the health system confirmed in a statement shared with Becker’s.  Sterling Surgical Center,…

Nearly half of U.S. physicians aren’t relying solely on their clinical salary.  Whether driven by financial pressure or intellectual curiosity, a growing share of physicians are building nonclinical income streams through consulting, teaching and research.  Here are six things to…

Physician practice closures aren’t slowing down. Bankruptcies climbed to their highest level in recent years in 2024 before easing somewhat in 2025. Becker’s tracked 23 physician practice closures in 2025.  From a 30-location dermatology group that abruptly stopped paying its…

The share of practices owned by hospitals, health systems or other corporate entities surged from 39% to 59% between 2019 and 2023 alone. Physician employment by those same entities climbed from 62% to 78% over the same period, according to…

Running a fixed-price ASC is less a billing innovation than an operational discipline, according to Tom Valentine, the new president of Zionsville, Ind.-based WellBridge Surgical. Mr. Valentine, who joined the free-market ASC May 1 after roughly two months of preparatory…

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