Becker's Healthcare December 8, 2025
Sophie Eydis

ASCs faced a mix of momentum and pressure throughout 2025. Procedure migration accelerated, technological innovation improved efficiency and new partnerships reshaped ASC growth strategies.

Yet rising operating costs, payer friction and staffing shortages, especially in anesthesia, continue to challenge profitability heading into 2026.

Here are some of the developments currently shaping the ASC landscape:

Good news

1. High-acuity procedures are rapidly shifting into ASCs: An industry report found orthopedics, cardiology and advanced spine are the biggest drivers of ASC growth as technology improves and patients seek lower-cost care.

Brentwood, Tenn.-based Surgery Partners reported a 50% jump in total joint volume, while Dallas-based Tenet’s USPI centers saw 23% growth in orthopedics.

Nashville, Tenn.-based HCA Healthcare also noted rising outpatient...

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