ASCs are being squeezed from all sides, with rising expenses and flat reimbursement making the traditional ASC value proposition more difficult to sustain. Leaders point to five major cost pressures reshaping the landscape: 1. Labor costs Labor remains one of…
ASC Transactions & Valuation Issues
Hospitals that cling to higher HOPD reimbursements and resist ASC development risk getting “left behind,” according to Jim Freund, managing partner at Physician Transaction Advisors. Mr. Freund joined Becker’s to discuss how these hospitals are missing out. Editor’s note: This…
Brentwood, Tenn.-based Surgery Partners said its subsidiary, Surgery Center Holdings, plans to offer an additional $425 million in senior unsecured notes, due 2032. The notes will carry a 7.25% interest rate and will be issued as part of the same…
Charlotte, N.C.-based Flagship Healthcare Properties has acquired a fully leased ASC in Pensacola, Fla. The facility houses The Endoscopy Center and was built for Gastroenterology Associates of Pensacola, now part of Miami-based Gastro Health, according to a Dec. 1 news…
Brentwood, Tenn.-based Surgery Partners is one of the country’s largest ASC operators, with more than 200 centers across 33 states. In 2025, the company doubled down on high-acuity outpatient growth and recycled capital out of heavier hospital assets into de…
Charlotte, N.C.-based Flagship Healthcare Properties has acquired a fully leased ASC in Madison, Ala. The facility includes six operating rooms, six endoscopy procedure rooms and one pain procedure room. It was built in 2004 and expanded in 2023, according to…
Nashville, Tenn.-based AmSurg has acquired a surgery center in Altoona, Pa. Advanced Center for Surgery has four operating rooms and is led by 17 physicians across specialties including orthopedics, podiatry and ear, nose and throat, according to a Dec. 9…
Brentwood, Tenn.-based Surgery Partners has partnered with Dallas-based Baylor Scott & White Health to jointly own a 16-bed hospital in Bryan, Texas. The two organizations will jointly own The Physicians Centre Hospital with the physicians at the facility, according to…
ASCs faced a mix of momentum and pressure throughout 2025. Procedure migration accelerated, technological innovation improved efficiency and new partnerships reshaped ASC growth strategies. Yet rising operating costs, payer friction and staffing shortages, especially in anesthesia, continue to challenge profitability…
From high implant and supply costs to payer reimbursement pressures, ASCs are heading into 2026 with their margins squeezed from every direction. Greg DeConciliis, administrator of Boston Out-Patient Surgical Suites, joined Becker’s to discuss how new technologies like robotics and…
