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ASC Transactions & Valuation Issues

Texas is home to one of the largest ASC markets in the country, with no certificate-of-need law and a fast-growing population driving sustained development.  Here are five updates from the last year shaping the Texas ASC landscape. 1. Austin pain…

The Urology Group – Central Indiana will permanently close June 30, citing the departure of physicians that left the practice with only one full-time urologist, according to a notice on the practice’s website. The practice’s sole remaining physician, Robert Williams,…

Nashville, Tenn.-based Montecito Medical has acquired a 14,380-square-foot medical outpatient property in Des Moines, Iowa that includes an ASC, according to a June 26 news release. The building is fully occupied by Urology Center of Iowa, a 12-location specialty group…

ASC transactions are lengthy and require physician owners to understand the process well before entering it Here is what each phase looks like in practice:  Phase 1: Pre-diligence and preparation (three to 12 months before going to market) Healthcare transaction…

More than half of U.S. physicians now work for hospital systems, and new research suggests the consolidation trend has been physician-led, rather than hospital-driven. A qualitative study published June 10 in JAMA Network Open found that practice acquisitions at three…

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Physicians who joined hospital systems through practice acquisitions report friction over staffing decisions, work schedules and inadequate onboarding, even as both groups agree the deals improve patient care, according to a new study. Researchers from Northeastern University interviewed 37 hospital…

ASC valuations remain healthy on paper, but many leaders say the problem is the gap between what a center is worth today and what it could have fetched two years ago.  ASC EBITDA multiples range from 2.7x to 12.0x, with…

Even as health systems pour capital into ASCs, Becker’s has reported on four health systems closing ASCs this year, driven by shrinking patient volumes, financial pressures and shifting network strategies. Here are the four health systems closing ASCs: 1. Catholic…

The same strategy is running at many health systems across the country: sell hospitals, buy ASCs, and the transactions are accelerating. St. Louis-based Ascension is on track to become one of the largest ASC operators in the country. The system…

When Ascension completed its $3.9 billion acquisition of AmSurg on June 4, it marked the end of a three-decade arc for one of the most consequential companies in ASCs. AmSurg controls roughly 3.9% of the ASC market with 250-plus centers…

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