Following plans to file for Chapter 11 bankruptcy, Envision Healthcare reached a restructuring agreement with its stakeholders.

ASCs around the country are facing reimbursements that are not keeping up with the rising cost of living, leading to a declining number of truly independent, physician-owned ASCs. 

Michael Davis, MD, surgical director and chief of urology at the University of New Mexico Health Sciences Center in Albuquerque, joined Becker's to evaluate the benefits — and downsides — of the growing trend of consolidation in healthcare.

How to increase your total ASC value

Orlando (Fla.) Health has purchased another medical office building near its main campus for $7.38 million, according to a May 8 report from local news station WFTV and the Orlando Business Journal. 

Nashville, Tenn.-based HCA Healthcare continues to double down on developing outpatient facilities and increasing outpatient procedure migration, according to an April 21 first-quarter earnings call transcribed by Seeking Alpha. 

Physician practice management services organizations and physician practices or groups will soon be required to send a comprehensive filing for transactions to the state of New York, JDSupra reported May 5. 

Peoria, Ill.-based OSF HealthCare has become the majority investor in Champaign, Ill.-based ASC Olympian Surgical Suites. 

CVS Health reported $2.1 billion in profit in the first quarter of 2023, according to the company's earnings, posted May 3.

As procedures increasingly migrate to the outpatient setting, ASCs continue to grow. 

While ASC giants United Surgical Partners International and SCA Health are seeing huge growth in the last decade, they are not the only companies to keep an eye on. 

Nashville, Tenn.-based Capitol Pain Institute is entering the Minneapolis/St. Paul, Minn., metropolitan market through the acquisition of Edina, Minn.-based Nura Pain Clinics. 

Healthcare services company Surgery Partners spent just under $250 million on ASC acquisitions in 2022, and the company has no plans on slowing its growth in 2023.

Nashville, Tenn. -based Surgery Partners has acquired Kansas Spine & Specialty Hospital in Wichita, Kan.

CVS Health completed its acquisition of primary care organization Oak Street Health in an all-cash, $10.6 billion deal. 

Healthcare strategy and advisory firm VMG Health has acquired healthcare consulting firm BSM Consulting. 

Here are four major ASC deals Becker's reported on in April:

Debra Fin, administrator of Midland, Mich.-based Great Lakes Bay Surgery & Endoscopy Center, joined Becker's to discuss what will disrupt the ASC industry next. 

Salt Lake City-based Intermountain Health and Nashville, Tenn.-based healthcare services company Surgery Partners have signed a collaboration agreement in which Surgery Partners will take over management of Intermountain's existing ASCs in Utah and Idaho and will develop more ASCs in other select markets. 

Columbus-based OhioHealth and Nashville-based healthcare services company Surgery Partners have formed a new company to grow ASC joint ventures across the state of Ohio, according to an April 28 press release sent to Becker's.