Physicians dominate ASC ownership — but big corporations are catching up 

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ASCs remained overwhelmingly for-profit in 2023, with 95.3% operating as such, according to a March 13 MedPAC report to Congress.

Here are three more insights:

1. Physicians still hold majority stakes. According to the report, most ASCs are at least partially owned by physicians.

2. Corporate ownership is rising. Between 2018 and 2023, the number of ASCs owned by one of the five largest corporate entities — United Surgical Partners International, AmSurg, Surgical Care Affiliates, HCA Healthcare and Surgery Partners — rose by 15.7%, increasing from 1,152 to 1,333 facilities.

3. Overall corporate presence is growing slowly. During the same five-year span, the overall share of ASCs with some level of corporate ownership grew modestly, from 20% to 21.1%.

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