Walgreens' VillageMD has announced plans to exit the Illinois, Indiana, Florida and Nevada markets this year. 

Eight medical office buildings in Raleigh, N.C., have sold for $79.4 million, according to an April 8 report from Commercial Property Executive.

A six-suite medical office building in Elkton, Md., has sold for $4.5 million, according to an April 5 report from the Maryland Daily Record. 

United Surgical Partners International joined with Dallas-based Tenet Healthcare in 2015 and has since grown to the largest ASC chain in the country. 

Independent physicians and ASCs are facing new market challenges as health systems continue to consolidate. 

 OakLeaf Medical Network, a physician-owned network based in Eau Claire, Wis., plans to open four clinics in Wisconsin following the closure of two hospitals.  

Shuttered Nampa, Idaho-based physician group Saltzer Health sold three facilities to Boise, Idaho-based Saint Alphonsus Health System after the group was closed. 

Health systems are keeping their sights set on ASCs as a means for growth.

Three medical office buildings in Stillwater, Lino Lakes and New Richmond, Wis., have been sold to healthcare real estate manager Hammes Partners, according to an April 2 report from Finance & Commerce.

Boise, Idaho-based Saint Alphonsus will acquire Saltzer Health's ASC and two urgent care centers as the provider shutters its operations in the area, according to an April 1 report from CBS affiliate Idaho News.

Intermountain Health's physician group Saltzer Health in Nampa, Idaho, closed March 29, a spokesperson said in a statement shared with Becker's.

UCLA Health acquired West Hills Hospital and Medical Center, which includes a freestanding ASC, from HCA Healthcare.

Walgreens-owned VillageMD will exit Nevada and will shutter its six clinics in the state, a spokesperson told Becker's. 

In the last week, Dallas-based Tenet Healthcare, parent company of ASC giant United Surgical Partners International, closed on two major deals selling hospitals in California. 

Optum, the parent company of SCA Health and the country's largest employer of physicians, announced plans to acquire Dallas-based Steward Health Care's physician group. 

Large health systems are continuing to grow as regional systems look to consolidate and prepare for the future.

Tenet Healthcare, parent company of ASC chain United Surgical Partners International, finalized an agreement March 29 to sell two hospitals to Roseville, Calif.-based Adventist Health. 

California is the state with the most physician groups, according to a report from Definitive Healthcare. 

Here are 10 of the biggest-budget acquisitions of physician groups, totaling approximately $45.3 billion, as reported by Becker's since 2019:

Oakland, Calif.-based Kaiser Permanente opened its first ASC in southern California, the Antelope Valley Press reported March 28.