Recent moves by the 5 biggest ASC chains

These are the five biggest moves by the five biggest ASC chains so far in 2024: 

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USPI, owned by Tenet Healthcare (Dallas): Tenet has been on a hospital selling spree, redirecting focus toward its ASC arm, United Surgical Partners International. 

  • On Oct. 1, Tenet completed the sale of its 70% ownership of five hospitals in Alabama. 
  • Tenet also sold nine hospitals in California and South Carolina for a total of $3.9 billion. 
  • The company acquired 45 new centers in Q1 when it quietly purchased ASC chain Covenant Physician Partners. 

2. SCA Health, owned by Optum (Deerfield, Ill.)

  • In May, Becker’s reported on SCA’s 2023 quiet purchase of two cardiovascular practices. 
  • SCA Health completed the sale of Antelope Valley Surgery Center in Lancaster, Calif., for an undisclosed amount, as well as San Rafael, Calif.-based Marin Specialty Surgery Center, which was purchased by MarinHealth Medical Center and the University of California San Francisco Health. 
  • Optum is also a potential buyer of Brentwood, Tenn.-based Surgery Partners, along with private equity firm TPG. 

3. AmSurg (Nashville, Tenn.): AmSurg was owned by Envision Health until 2023 when the parent company filed for bankruptcy. 

  • In June, AmSurg inked a joint venture with Escondido. Calif.-based Palomar Health and the system’s Poway (Calif.) Surgery Center. 
  • In July, AmSurg acquired ownership interest in Salem, Ore.-based River Road Surgery Center, which specializes in ENT procedures. 
  • In August, AmSurg partnered with Owings Mills, Md.-based LifeBridge Health and Pikesville, Md.-based Woodholme Group to open a gastroenterology ASC in Westminster, Md. 

4. HCA Healthcare (Nashville, Tenn.): HCA runs its ASCs through the HCA Surgery Ventures line. 

  • Oakland, Calif.-based Kaiser Permanente and Denver-based HCA HealthOne, part of HCA, expanded their relationship to provide additional healthcare access in central Denver.
  • On Aug. 13, HCA Healthcare won certificate-of-need approval to develop an ASC in Hanover, Va., after two consecutive rejections by state health authorities. 
  • HCA Surgery Ventures will also open the Silicon Valley Surgery Center in Campbell, Calif., through a joint venture with more than 50 physicians.

5. Surgery Partners (Brentwood, Tenn.): Surgery Partners is the only publicly traded ASC company remaining in the market.

  • In February, Surgery Partners teamed up with Fort Wayne, Ind.-based Parkview Health to develop ASC joint ventures across the state. 
  • In May, it formed a partnership with New York City-based Gramercy Park Digestive Disease Center.
  • With backing from private-equity firm Bain Capital, the company has also been exploring sales options, attracting interest from both PE firms and other healthcare companies. Optum and PE-firm TPG are both highly interested parties in the potential acquisition. 

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 5 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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