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ASC Transactions & Valuation Issues

Dallas-based Tenet Healthcare is doubling down on ambulatory growth, with its subsidiary United Surgical Partners International driving expansion amid rising demand for outpatient care.

As both the ASC industry and the physician workforce overall become increasingly consolidated, some companies are pioneering alternative business models that offer financial and operational support while maintaining their independent practice. 

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Despite investor concerns over potential Medicaid cuts, executives of Dallas-based Tenet Healthcare, parent company of ASC giant United Surgical Partners International, remained confident in financial stability in a Feb. 12 earnings call. 

Economic pressures such as inflation, staffing shortages and supply chain issues have given way to consolidation throughout the healthcare industry. Now, 77% of physicians have moved away from independent practices, opting for employment by hospitals or health systems. 

Dallas-based United Surgical Partners International – the ASC arm of Tenet Healthcare — added nearly 70 ASCs in 2024, further solidifying its market position as the largest ASC chain. 

An ASC in Ames, Iowa, has closed for unknown reasons, the Ames Tribune reported Feb. 13. 

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