The ASC industry is facing increased consolidation as some ASCs look to partnerships with hospitals and health systems to stay afloat in a challenging economic climate. 

A medical office building in Roseville, Calif., has been acquired by Montecito Medical Real Estate for $9.205 million, according to a Jan. 13 report from the Sacramento Business Journal.

The ASC-hospital relationship has evolved as hospitals have become increasingly interested in pursuing outpatient ventures. This often takes the form of joint ventures with existing ASCs. 

Los Angeles-based Prospect Medical Holdings, a private equity-backed system that owns hospitals across four states, has filed for Chapter 11 protection. 

A medical office building in Chantilly, Va., has sold for $9.2 million, according to a Jan. 10 report from REBusiness Online.

Here are three hospital closures since Jan. 1, as reported by Becker's:

Laurel, Va.-based Virginia Care Partners, an affiliate of HCA Virginia in Richmond, has established a partnership with Pearl Health, a technology platform geared specifically toward independent physician practices, IT News Online reported Jan. 8. 

Here are the most recent updates on five ASC giants as 2025 begins: 

A Jan. 7 bipartisan Senate report titled "Profits Over Patients: The Harmful Effects of Private Equity on the U.S. Health Care System" heavily scrutinized private equity involvement in healthcare, particularly in underserved and rural communities. 

Lewiston-based Central Maine Healthcare will be acquired by Ontario, Calif.-based Prime Healthcare Foundation pending regulatory approval, WMTW reported Jan. 8.

Walgreens Boots Alliance faced major headwinds into 2024 as the company confronted significant challenges in its efforts to expand into primary care. 

A medical office building in Novato, Calif., has sold for $30.05 million, according to a Jan. 4 report from the North Bay Business Journal.

Here are five hospitals consolidating since Dec. 25, as reported by Becker's:

Fort Street Partners and Chestnut Healthcare Real Estate have formed a joint venture to acquire and develop $150 million in outpatient medical and surgery centers over the next four years, according to a Jan. 3 report from the Commercial Property Executive.

The Market According to ACS Industry Overview, August 2024, there are currently 11,000 ASCs in the US and in 2023 the ASC market was valued at $43.2 billion. 50.8% of the ASCs are single-specialty and 49.2% are multi-specialty. In 2023 68% of ASCs remained independent.

A medical office building leased by an Atrium Health Wake Forest Baptist clinic has been purchased by a Raleigh, N.C.-based optometrist, according to a Dec. 26 report from the Triad Business Journal.

Tenet Healthcare's United Surgical Partners International is the largest ASC chain in the country by number of physicians. 

Optum and home health provider Amedisys have extended the deadline for their proposed $3.3 billion merger amid a legal challenge from the Department of Justice. 

Kaiser Permanente Kern County has acquired a 13,000-square-foot medical facility in Bakersfield, Calif., to convert into a surgery center, according to a Dec. 18 report from CBS affiliate BakersfieldNow.

A nine-building medical office building portfolio in Farmington, Conn., has sold for over $7 million, according to a Dec. 18 report from Hartford Business.