Some ASCs are having to forgo independence, looking to hospital and management company partnerships to handle skyrocketing operating costs.

Here is a look at how Dallas-based ASC-operating behemoth United Surgical Partners International has performed financially in 2023 thus far:

Orlando Health has purchased property in Lake Mary, Fla., near its upcoming hospital to construct a 28,000-square-foot medical office building, according to a Dec. 9 report from the Orlando Business Journal.

Optum, the largest employer of physicians in the country, has doubled down on its physician acquisition strategy in 2023. 

A handful of ASCs have changed hands in 2023, due to factors including health system bankruptcy filings. 

CVS Health, one of the country's largest employers of physicians, has rebranded its healthcare delivery services.

Nashville, Tenn.-based HCA Healthcare, one of the country's largest operators of ASCs, is on a spending spree – inking three deals in the last week. 

Here are 10 acquisitions of ASCs and medical buildings that occurred last month, as reported by Becker's in November:

Central Maine Health Ventures, a subsidiary of Auburn-based Central Maine Healthcare, is attempting to acquire full ownership of its ASC, Central Maine Orthopaedics Ambulatory Surgical Center in Auburn, according to a Dec. 1 report from the Sun Journal.

ASC chain AmSurg has undergone a metamorphosis in 2023.

Here are three major practice and care center closures on which Becker's reported in November:

Tampa (Fla.) General Hospital has completed the $290 million purchase of Bravera Health properties in Citrus and Hernando from Community Health Systems, which include two ASCs, according to a Dec. 1 report from Health News Florida.

With a year filled with deals, partnerships and acquisitions, ASC chain Surgery Partners has been anything but passive in 2023. 

Atkins Companies has signed tenancy agreements with three medical practices at its West Orange, N.J.-based Washington Medical Arts Building, moving closer to filling its 70,000 square feet of space, according to a Nov. 29 report from NJBiz.

Healthcare Finance, a First Citizens Bank business, has helped facilitate two medical office building transactions totaling $99.3 million. 

Optum now has nearly 90,000 employed and affiliated physicians, CEO Amar Desai, MD, said during a presentation at UnitedHealth Group's 2023 investor conference on Nov. 29. 

A two-building medical office portfolio in Libertyville, Ill., has been acquired by an affiliate of Stage Equity Partners, according to a Nov. 29 report from Commercial Property Executive.

At the Becker's 29th Annual ASC Meeting: The Business and Operations of ASCs, Dana Jacoby, president and CEO of Vector Medical Group, and Gary Herschman, partner and co-chair of the healthcare transactions group at Epstein Becker & Green, discussed the consolidation in the healthcare industry, particularly in ASCs and physician groups.

From Optum acquisitions to a CMS rule, here are five major moves that shook up the ASC industry in 2023:

A 33,000-square-foot medical office building in Carmel, Ind., has been acquired by Echo Real Estate for an undisclosed price, according to a Nov. 22 report from REBusiness Online.