Becker's Healthcare January 2, 2026
Private equity-backed “roll-up” strategies in ASCs have helped create some of the country’s largest platforms, often through a series of smaller acquisitions that may not individually trigger federal antitrust reporting requirements, according to a recent report from the Private Equity Stakeholder Project.
Now, some of those platforms are being purchased by large nonprofit health systems, raising new questions about whether consolidation in the ASC market is accumulating in ways that are difficult to evaluate until the industry has already shifted, the project alleges.
Health systems and hospitals are looking to expand their ASC footprint. In a 2025 VMG Health survey of health system executives, including CEOs, CFOs and COOs, outpatient surgery ranked as the top service line for...
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